Organization Active NPI

Champlain Valley Audiology, PLLC

  • Audiologist
  • Plattsburgh, NY
National Provider Identifier
1215104153
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1424 Issued in NY
Legal business name
CHAMPLAIN VALLEY AUDIOLOGY, PLLC
Practice address
176 US Oval
Suite 3
Plattsburgh, NY 12903-3900
Phone
(518) 324-5707
Fax
(518) 324-5726
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. Sharon Joy Macner, AU.D.
Title
Owner
Phone
(518) 324-5707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 1424 NY Primary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X 14000001179 NY

Addresses

Primary practice location

176 US Oval
Suite 3
Plattsburgh, NY 12903-3900

Mailing address

176 US Oval
Suite 3
Plattsburgh, NY 12903-3900
Phone (518) 324-5707

National Provider Directory

National Provider Directory

Locations

176 US Oval
Ste 3
Plattsburgh, NY 12903
Phone (518) 310-0900

Practitioners & affiliated clinicians

Practitioners 3

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": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1215104153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 US OVAL",
            "address_2": "SUITE 3",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129033900",
            "telephone_number": "518-324-5707",
            "fax_number": "518-324-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 US OVAL",
            "address_2": "SUITE 3",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129033900",
            "telephone_number": "518-324-5707",
            "fax_number": "518-324-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPLAIN VALLEY AUDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "MACNER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-324-5707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "NY",
            "license": "1424",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000001179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.