Active NPI
Union Professional Hearing Center, LLC
- Audiologist
- Union, MO
National Provider Identifier
1265754279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2002021117
- Legal business name
- UNION PROFESSIONAL HEARING CENTER, LLC
- Practice address
- 427 Jane Ave
Union, MO 63084-1907 - Phone
- (636) 583-4902
- Fax
- (636) 583-4925
- NPI assigned
- Feb 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia A Modrosic, M.S., F-AAA
- Title
- Audiologist
- Phone
- (636) 583-4902
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2002021117 | MO | Primary |
Addresses
Primary practice location
427 Jane Ave
Union, MO 63084-1907
Mailing address
427 Jane Ave
Union, MO 63084-1907
Phone (636) 583-4902
Other names 1
- Professional Hearing Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
102 N Church St
Union, MO 63084
Phone (314) 583-4902
427 Jane Ave
Union, MO 63084
Phone (636) 583-4902
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Union, MO
- NPI 1801068077
-
- Audiologist
- De Soto, MO
- NPI 1568982650
-
- Audiologist
- Springfield, MO
- NPI 1427399427
-
- Audiologist
- Saint Louis, MO
- NPI 1962708727
-
- Audiologist
- Saint Joseph, MO
- NPI 1629443999
-
- Audiologist
- Saint Louis, MO
- NPI 1629281175
-
- Audiologist
- Leavenworth, KS
- NPI 1144270760
-
- Audiologist
- Augusta, GA
- NPI 1235301771
-
- Hearing Instrument Specialist
- Union, MO
- NPI 1003942772
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433376000000",
"number": "1265754279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 JANE AVE",
"city": "UNION",
"state": "MO",
"postal_code": "630841907",
"telephone_number": "636-583-4902",
"fax_number": "636-583-4925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 JANE AVE",
"city": "UNION",
"state": "MO",
"postal_code": "630841907",
"telephone_number": "636-583-4902",
"fax_number": "636-583-4925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNION PROFESSIONAL HEARING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-17",
"last_updated": "2015-06-04",
"status": "A",
"authorized_official_last_name": "MODROSIC",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "AUDIOLOGIST",
"authorized_official_telephone_number": "636-583-4902",
"authorized_official_credential": "M.S., F-AAA"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "MO",
"license": "2002021117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Professional Hearing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Union, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.