Individual provider Active NPI

Robert Guy Hale Jr., AUD

  • Audiologist
  • Batesville, AR
National Provider Identifier
1245209485
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A164 Issued in AR
Practice address
501 Virginia Drive
Suite a
Batesville, AR 72501-7317
Phone
(870) 698-1846
Fax
(870) 793-2463
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A164 AR Primary

Addresses

Primary practice location

501 Virginia Drive
Suite a
Batesville, AR 72501-7317

Mailing address

501 Virginia Drive
Suite a
Batesville, AR 72501-7317
Phone (870) 698-1846

Other identifiers 1

IdentifierTypeStateIssuer
139981720MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050209000432 AR Practitioner - Qualified Audiologist 9638120553 Reassigns benefits to 2 organizations
Practice locations: Batesville, AR

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White River Health System, Inc.Group PAC ID 0143134270, 190 clinicians

Practice addresses (Care Compare)

501 Virginia Dr
Suite a
Batesville, AR 72501-7317
Phone (870) 698-1846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A164ARMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
White River Health System, Inc. Current Accepting new patients
Batesville Hearing Center, PLLC Audiologist CurrentSince Oct 4, 2015 Accepting new patients
White River Health System, Inc. Audiologist CurrentSince Oct 1, 2015 Accepting new patients

Locations

501 Virginia Dr
Ste A
Batesville, AR 72501

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

501 Virginia Dr
#D
Batesville, AR 72501

Organizations & group practices 4

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1245209485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 VIRGINIA DRIVE",
            "address_2": "SUITE A",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017317",
            "telephone_number": "870-698-1846",
            "fax_number": "870-793-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 VIRGINIA DRIVE",
            "address_2": "SUITE A",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017317",
            "telephone_number": "870-698-1846",
            "fax_number": "870-793-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "ROBERT",
        "middle_name": "GUY",
        "name_suffix": "Jr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "A164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139981720",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.