Individual provider Active NPI

Susan D Hamilton, M.S.;CCC-A;AUD

  • Audiologist
  • Swansea, IL
National Provider Identifier
1235319245
Registry record updated Jul 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147-001043 Issued in IL
Practice address
19 Wolf Creek Dr
Swansea, IL 62226-2355
Phone
(618) 235-3687
Fax
(618) 239-9492
NPI assigned
Nov 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147-001043 IL Primary

Addresses

Primary practice location

19 Wolf Creek Dr
Swansea, IL 62226-2355

Mailing address

19 Wolf Creek Dr
Swansea, IL 62226-2355
Phone (618) 235-3687

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170404000399 OK Practitioner - Qualified Audiologist 7315084654

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10802 Quail Plaza Dr
Suite 112
Oklahoma City, OK 73120-3117

2210 Duncan Regional Loop
Duncan, OK 73533-1564

2230 SE Washington Blvd
Suite 101
Bartlesville, OK 74006-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147-001043ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Otolaryngology Hearing Center Inc Audiologist CurrentSince Jan 9, 2022 Accepting new patients
Gregory J Maag, Ma-Ccca Mid America Audiology Group, LTD Audiologist PastSince Sep 1, 2015 Accepting new patients
Hearuss LLC Audiologist PastSince Mar 6, 2017 Accepting new patients
Sound Advice Hearing Doctors LLC Past Accepting new patients
Oklahoma Otolaryngology Associates, LLC Past Accepting new patients
Hearusa Inc Past Accepting new patients
Audiology Distribution, LLC PastSince Jul 1, 2018 Accepting new patients

Locations

3650 W Rock Creek Rd
#110B
Norman, OK 73072
Phone (405) 755-1930

3048 SW 89th St
Ste B
Oklahoma City, OK 73159
Phone (405) 464-8819

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436572800000",
    "number": "1235319245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WOLF CREEK DR",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262355",
            "telephone_number": "618-235-3687",
            "fax_number": "618-239-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WOLF CREEK DR",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262355",
            "telephone_number": "618-235-3687",
            "fax_number": "618-239-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "SUSAN",
        "middle_name": "D",
        "credential": "M.S.;CCC-A;AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2015-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-001043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.