Organization Active NPI

McDonald Hearing Aid, Inc.

Doing business as McDonald Audiology & Hearing Health Care

  • Hearing Instrument Specialist
  • Grand Rapids, MI
National Provider Identifier
1245277839
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
3501000275 Issued in MI
Legal business name
MCDONALD HEARING AID, INC.
Doing business as
McDonald Audiology & Hearing Health Care
Practice address
330 Fuller Ave NE
Grand Rapids, MI 49503-3631
Phone
(616) 459-7111
Fax
(616) 459-8277
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sandra Lee McDonald, ASSOCIATE IN BUSINES
Title
Vice President
Phone
(616) 459-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X 3501000275 MI Primary

Addresses

Primary practice location

330 Fuller Ave NE
Grand Rapids, MI 49503-3631

Mailing address

330 Fuller Ave NE
Grand Rapids, MI 49503-3631
Phone (616) 459-7111

Other names 1

  • McDonald Audiology & Hearing Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081020000174 MI Part B Supplier - Clinic/Group Practice 9032277199 Receives reassigned benefits from 2 practitioners
Practice locations: Grand Rapids, MI; Kentwood, MI; Greenville, MI

National Provider Directory

National Provider Directory

Locations

330 Fuller Ave NE
Grand Rapids, MI 49503
Phone (616) 456-0360

961 4 Mile Rd NW
Grand Rapids, MI 49544
Phone (616) 784-6299

961 4 Mile Rd NW
Ste A
Grand Rapids, MI 49544
Phone (616) 784-6130

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245277839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 FULLER AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033631",
            "telephone_number": "616-459-7111",
            "fax_number": "616-459-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 FULLER AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033631",
            "telephone_number": "616-459-7111",
            "fax_number": "616-459-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONALD HEARING AID, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "616-459-7111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ASSOCIATE IN BUSINES"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3501000275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDonald Audiology & Hearing Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.