Organization Active NPI

West Coast Hearing Clinic Inc

  • Audiologist
  • Aberdeen, WA
National Provider Identifier
1306984554
Registry record updated May 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
951 Issued in WA
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

Updated by the provider on May 30, 2014

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.NPI 1942271424
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)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
96368 48014OtherWAHEARPO
7078355MedicaidWA
65266OtherWAWA DEPT OF L & I
9042599MedicaidWA
2100250 1100565OtherWACOMMUNITY HEALTH PLANWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120124000231 WA Part B Supplier - Clinic/Group Practice 7719154244 Receives reassigned benefits from 1 practitioner
Practice locations: Aberdeen, WA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.