Active NPI
West Coast Hearing Clinic Inc
- Audiologist
- Aberdeen, WA
National Provider Identifier
1306984554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 951
- Legal business name
- WEST COAST HEARING CLINIC INC
- Practice address
- 303 W 1St St
Aberdeen, WA 98520-6110 - Phone
- (360) 533-0633
- Fax
- (360) 533-2541
- NPI assigned
- Feb 1, 2007
- 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
- Dr. Mark H Scoones, AU.D.
- Title
- Doctor of Audiology President
- Phone
- (360) 533-0633
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 | 951 | WA | Primary |
Addresses
Primary practice location
303 W 1St St
Aberdeen, WA 98520-6110
Mailing address
303 W 1St St
Aberdeen, WA 98520-6110
Phone (360) 533-0633
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96368 48014 | Other | WA | HEARPO |
| 7078355 | Medicaid | WA | |
| 65266 | Other | WA | WA DEPT OF L & I |
| 9042599 | Medicaid | WA | |
| 2100250 1100565 | Other | WA | COMMUNITY HEALTH PLANWA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
303 W 1st St
Aberdeen, WA 98520
Phone (360) 533-0633
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Aberdeen, WA
- NPI 1942271424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401408000000",
"number": "1306984554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 W 1ST ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985206110",
"telephone_number": "360-533-0633",
"fax_number": "360-533-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 W 1ST ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985206110",
"telephone_number": "360-533-0633",
"fax_number": "360-533-2541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST COAST HEARING CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2014-05-30",
"status": "A",
"authorized_official_last_name": "SCOONES",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY PRESIDENT",
"authorized_official_telephone_number": "360-533-0633",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "WA",
"license": "951",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARPO",
"identifier": "96368 48014",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7078355",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA DEPT OF L & I",
"identifier": "65266",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9042599",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH PLANWA",
"identifier": "2100250 1100565",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; 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.