Active NPI
Bonnie Waugh, H.A.S.
- Hearing Instrument Specialist
- Elk City, OK
National Provider Identifier
1285089417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1092
- Practice address
- 2900 W 3Rd St
Elk City, OK 73644-4324 - Phone
- (580) 243-0939
- NPI assigned
- Apr 25, 2016
- Last updated
- Apr 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1092 | OK | Primary |
Addresses
Primary practice location
2900 W 3Rd St
Elk City, OK 73644-4324
Mailing address
PO Box 451
Elk City, OK 73648-0451
Phone (580) 243-0939
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1092 | OK | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hear Gear | Hearing Instrument Specialist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461542400000",
"number": "1285089417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 451",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736480451",
"telephone_number": "580-243-0939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 W 3RD ST",
"city": "ELK CITY",
"state": "OK",
"postal_code": "736444324",
"telephone_number": "580-243-0939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAUGH",
"first_name": "BONNIE",
"credential": "H.A.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-25",
"last_updated": "2016-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "OK",
"license": "1092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.