Active NPI
Timothy John Needham, AU.D.
- Audiologist
- Wixom, MI
National Provider Identifier
1194124883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601000685
- Practice address
- 29670 S Wixom Rd
Wixom, MI 48393-3430 - Phone
- (248) 438-6725
- Fax
- (248) 438-6771
- NPI assigned
- Aug 19, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1601000685 | MI | Primary |
Addresses
Primary practice location
29670 S Wixom Rd
Wixom, MI 48393-3430
Mailing address
29670 S Wixom Rd
Wixom, MI 48393-3430
Phone (248) 438-6725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1601000685 | MI | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearx West, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Bakersfield, CA
- NPI 1356398598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462406400000",
"number": "1194124883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29670 S WIXOM RD",
"city": "WIXOM",
"state": "MI",
"postal_code": "483933430",
"telephone_number": "248-438-6725",
"fax_number": "248-438-6771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29670 S WIXOM RD",
"city": "WIXOM",
"state": "MI",
"postal_code": "483933430",
"telephone_number": "248-438-6725",
"fax_number": "248-438-6771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEEDHAM",
"first_name": "TIMOTHY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-19",
"last_updated": "2016-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601000685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wixom, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.