Peninsula Hearing Tech

Primary specialty

AudiologistTaxonomy code 231H00000X

License

LD60282050 Issued in WA

Legal business name

PENINSULA HEARING TECH

Doing business as

Peninsula Audiology and Hearing Aids

Practice address

3212 50TH Street CT NW Ste 100
Gig Harbor, WA 98335-8527

Phone

(253) 858-3277

NPI assigned

Sep 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Keith D Condict, AUD

Title

President/Audiologist

Phone

(903) 816-2836

Specialties & licenses 2

Addresses

Other names 1

• Peninsula Audiology and Hearing Aids Doing business as

Locations

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1194193292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 50TH STREET CT NW STE 100",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358527",
            "telephone_number": "253-858-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 50TH STREET CT NW STE 100",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358527",
            "telephone_number": "253-858-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA HEARING TECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "CONDICT",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/AUDIOLOGIST",
        "authorized_official_telephone_number": "903-816-2836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD60282050",
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "WA",
            "license": "LD60282050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula Audiology and Hearing Aids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peninsula Community Health Services
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• Peninsula Dermatology & Laser Clinic PLLC
• Peninsula Family Medical Center
• Peninsula Internal Medicine Associates PS
• Peninsula Natural Health Clinic, Inc. (Peninsula Naturopathic Clinic)
• Peninsula Pediatric Therapy, LLC (Peninsula Pediatric Therapy)
• Peninsula Rad Onc Ctr LLC
• Peninsula School District

• Audiologist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Audiologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.