Active NPI
Patrick James Vangroll, M.A., CCC-A
- Audiologist
- Bend, OR
National Provider Identifier
1316008246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 22519
- Practice address
- 2036 NE Williamson CT
Suite 200
Bend, OR 97701-3771 - Phone
- (541) 318-5436
- Fax
- (541) 318-5437
- NPI assigned
- Dec 13, 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 22519 | OR | Primary |
Addresses
Primary practice location
2036 NE Williamson CT
Suite 200
Bend, OR 97701-3771
Mailing address
2036 NE Williamson CT
Suite 200
Bend, OR 97701-3771
Phone (541) 318-5436
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22519 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Hearing Centers, Inc. | 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 and National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Bend, OR
- NPI 1679608632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316008246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2036 NE WILLIAMSON CT",
"address_2": "SUITE 200",
"city": "BEND",
"state": "OR",
"postal_code": "977013771",
"telephone_number": "541-318-5436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2036 NE WILLIAMSON CT",
"address_2": "SUITE 200",
"city": "BEND",
"state": "OR",
"postal_code": "977013771",
"telephone_number": "541-318-5436",
"fax_number": "541-318-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANGROLL",
"first_name": "PATRICK",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "M.A., CCC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "22519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
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.