Organization Active NPI

Professional Hearing Solutions of Indiana

  • Audiologist
  • Fort Wayne, IN
National Provider Identifier
1205178910
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002271A Issued in IN
Legal business name
PROFESSIONAL HEARING SOLUTIONS OF INDIANA
Doing business as
PROFESSIONAL HEARING SOLUTIONS
Professional Hearing Solutions, LLC
Practice address
8806 Coldwater Rd
Fort Wayne, IN 46825-2715
Phone
(260) 482-4327
Fax
(260) 482-4320
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2021

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

Authorized official

Name
Lisa Greenway, AU.D.NPI 1073599296
Title
Owner
Phone
(260) 482-4327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 23002271A IN Primary

Addresses

Primary practice location

8806 Coldwater Rd
Fort Wayne, IN 46825-2715

Mailing address

8806 Coldwater Rd
Fort Wayne, IN 46825-2715

Other practice location 1

1645 Hillcrest Ct Ste C
Ossian, IN 46777-9124
Phone (260) 482-4327

Other identifiers 1

IdentifierTypeStateIssuer
200341310MedicaidIN

Other names 2

  • PROFESSIONAL HEARING SOLUTIONS Doing business as
  • Professional Hearing Solutions, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lgreenway@professionalhearingsolutions.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210920002228 IN Part B Supplier - Clinic/Group Practice 8921405820 Receives reassigned benefits from 1 practitioner
Practice locations: Ossian, IN

National Provider Directory

National Provider Directory

Locations

8806 Coldwater Rd
Fort Wayne, IN 46825
Phone (260) 482-4327

1645 Hillcrest Ct
Ste C
Ossian, IN 46777
Phone (260) 227-3022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631923200000",
    "number": "1205178910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8806 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8806 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252715",
            "telephone_number": "260-482-4327",
            "fax_number": "260-482-4320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645 Hillcrest Ct Ste C",
            "address_purpose": "LOCATION",
            "city": "Ossian",
            "state": "IN",
            "postal_code": "467779124",
            "country_code": "US",
            "telephone_number": "260-482-4327",
            "fax_number": "260-482-4320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL HEARING SOLUTIONS OF INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A",
        "authorized_official_last_name": "GREENWAY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-482-4327",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002271A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200341310",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgreenway@professionalhearingsolutions.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8806 Coldwater Rd",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468252715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL HEARING SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Professional Hearing Solutions, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; 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.

Verify at the official NPI Registry.