Individual provider Active NPI

Peter Giffin Ogilvy, M.S.,CCC/A

  • Audiologist
  • Bridgeport, CT
National Provider Identifier
1265675169
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000236 Issued in CT
Practice address
4270 Main St
Bridgeport, CT 06606-2306
Phone
(203) 374-8900
NPI assigned
Apr 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000236 CT Primary
Assistive Technology Practitioner Audiologist 231HA2400X 000236 CT
Assistive Technology Supplier Audiologist 231HA2500X 000236 CT

Addresses

Primary practice location

4270 Main St
Bridgeport, CT 06606-2306

Mailing address

4270 Main Street
Aa Hearing Aid Center
Bridgeport, CT 06606-2306
Phone (203) 374-8900

Other identifiers 1

IdentifierTypeStateIssuer
004014494MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000236CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Aa Hearing Aid Center,Inc. Audiologist PastSince Mar 25, 2009 Accepting new patients

Organizations & group practices 1

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": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1265675169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 MAIN STREET",
            "address_2": "AA HEARING AID CENTER",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062306",
            "telephone_number": "203-374-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062306",
            "telephone_number": "203-374-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGILVY",
        "first_name": "PETER",
        "middle_name": "GIFFIN",
        "credential": "M.S.,CCC/A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000236",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "CT",
            "license": "000236",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "CT",
            "license": "000236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004014494",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.