Active NPI
Robert James Degooyer, NBC HIS
- Hearing Instrument Specialist
- Park Rapids, IA
National Provider Identifier
1306908280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- Practice address
- 607 South Carroll Street
Park Rapids, IA 51246-0243 - Phone
- (712) 472-3698
- Fax
- (712) 472-3698
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
607 South Carroll Street
Park Rapids, IA 51246-0243
Mailing address
607 South Carroll Street
P O Box 243
Park Rapids, IA 51246-0243
Phone (712) 472-3698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0035121 | Medicaid | IA |
Other names 1
- Mr. Jim Degooyer
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306908280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 SOUTH CARROLL STREET",
"address_2": "P O BOX 243",
"city": "PARK RAPIDS",
"state": "IA",
"postal_code": "512460243",
"telephone_number": "712-472-3698",
"fax_number": "712-472-3698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 SOUTH CARROLL STREET",
"city": "PARK RAPIDS",
"state": "IA",
"postal_code": "512460243",
"telephone_number": "712-472-3698",
"fax_number": "712-472-3698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGOOYER",
"first_name": "ROBERT",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "NBC HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0035121",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JIM",
"last_name": "DEGOOYER",
"prefix": "MR.",
"credential": "NBC HIS",
"code": "5",
"type": "Other Name"
}
]
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.