Organization Active NPI

Michiana Hearing Care Center, P.C.

  • Hearing and Speech Clinic/Center
  • South Bend, IN
National Provider Identifier
1235397969
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
0115322477 Issued in IN
Legal business name
MICHIANA HEARING CARE CENTER, P.C.
Practice address
1001 N Hickory Rd
Suite 8a
South Bend, IN 46615-3702
Phone
(574) 232-3100
Fax
(574) 232-4100
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Dr. Cheryl Ann Sharp, AUD
Title
President
Phone
(574) 232-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 0115322477 IN Primary

Addresses

Primary practice location

1001 N Hickory Rd
Suite 8a
South Bend, IN 46615-3702

Mailing address

1001 Hickory Road
Suite 8a
South Bend, IN 46615-3700
Phone (574) 232-3100

Other identifiers 1

IdentifierTypeStateIssuer
200423490AMedicaidIN

National Provider Directory

National Provider Directory

Locations

1001 N Hickory Rd
Ste 8A
South Bend, IN 46615
Phone (574) 232-3100

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1235397969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HICKORY ROAD",
            "address_2": "SUITE 8A",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153700",
            "telephone_number": "574-232-3100",
            "fax_number": "574-232-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N HICKORY RD",
            "address_2": "SUITE 8A",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153702",
            "telephone_number": "574-232-3100",
            "fax_number": "574-232-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIANA HEARING CARE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-232-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "IN",
            "license": "0115322477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200423490A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.