Organization Active NPI

Elkhart Audiology Rehab

  • Audiologist-Hearing Aid Fitter
  • Elkhart, IN
National Provider Identifier
1306147970
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
23002216A Issued in IN
Legal business name
ELKHART AUDIOLOGY REHAB
Practice address
2801 E Bristol St Ste B
Elkhart, IN 46514-4387
Phone
(574) 262-3277
Fax
(574) 262-3277
NPI assigned
Nov 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Sharon Hirstein
Title
Owner
Phone
(574) 262-3277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X 23002216A IN Primary

Addresses

Primary practice location

2801 E Bristol St Ste B
Elkhart, IN 46514-4387

Mailing address

2801 E Bristol St Ste B
Elkhart, IN 46514-4387
Phone (574) 262-3277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101123000404 IN Part B Supplier - Clinic/Group Practice 5496941965 Receives reassigned benefits from 2 practitioners
Practice locations: Elkhart, IN

National Provider Directory

National Provider Directory

Locations

663 County Road 17
Ste 1
Elkhart, IN 46516
Phone (574) 262-3277

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1306147970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 E BRISTOL ST STE B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144387",
            "telephone_number": "574-262-3277",
            "fax_number": "574-262-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 E BRISTOL ST STE B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465144387",
            "telephone_number": "574-262-3277",
            "fax_number": "574-262-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHART AUDIOLOGY REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "HIRSTEIN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-262-3277"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IN",
            "license": "23002216A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.