NPIMap

Organization Active NPI

Audiololgy Hearing Clinic of Mequon LLC

  • Hearing and Speech Clinic/Center
  • Mequon, WI
National Provider Identifier
1194053751
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
41-156 Issued in WI
Legal business name
AUDIOLOLGY HEARING CLINIC OF MEQUON LLC
Practice address
11649 N Port Washington Rd
Suite 105
Mequon, WI 53092-3460
Phone
(262) 241-3144
Fax
(262) 241-3186
NPI assigned
Nov 19, 2009
Last updated
Nov 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stephan B. Ryan, AU.D.NPI 1811105786
Title
Doctor of Audiology
Phone
(262) 241-3144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 41-156 WI Primary

Addresses

Primary practice location

11649 N Port Washington Rd
Suite 105
Mequon, WI 53092-3460

Mailing address

11649 N Port Washington Rd
Suite 105
Mequon, WI 53092-3460
Phone (262) 241-3144

National Provider Directory

National Provider Directory

Locations

11649 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-3144

11649 N Port Washington Rd
Ste 105
Mequon, WI 53092
Phone (262) 241-3144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1194053751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11649 N PORT WASHINGTON RD",
            "address_2": "SUITE 105",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923460",
            "telephone_number": "262-241-3144",
            "fax_number": "262-241-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11649 N PORT WASHINGTON RD",
            "address_2": "SUITE 105",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923460",
            "telephone_number": "262-241-3144",
            "fax_number": "262-241-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOLGY HEARING CLINIC OF MEQUON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY",
        "authorized_official_telephone_number": "262-241-3144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "WI",
            "license": "41-156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.