Individual provider Active NPI

Ronald J Fecek, MA,CCC-A

  • Audiologist-Hearing Aid Fitter
  • Washington, PA
National Provider Identifier
1316080591
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AT0000463L Issued in PA
Practice address
210 Wellness Way
Manifold Professional Building
Washington, PA 15301-9697
Phone
(724) 228-8212
Fax
(724) 228-7767
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AT0000463L PA Primary

Addresses

Primary practice location

210 Wellness Way
Manifold Professional Building
Washington, PA 15301-9697

Mailing address

210 Wellness Way
Manifold Professional Building
Washington, PA 15301-9697
Phone (724) 228-8212

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

LicenseStateTypeSpecialty
AT0000463LPAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Audio-Logics Past Accepting new patients
Audiology Distribution, LLC Audiologist-Hearing Aid Fitter PastSince Feb 7, 2012 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316080591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WELLNESS WAY",
            "address_2": "MANIFOLD PROFESSIONAL BUILDING",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019697",
            "telephone_number": "724-228-8212",
            "fax_number": "724-228-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WELLNESS WAY",
            "address_2": "MANIFOLD PROFESSIONAL BUILDING",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019697",
            "telephone_number": "724-228-8212",
            "fax_number": "724-228-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECEK",
        "first_name": "RONALD",
        "middle_name": "J",
        "credential": "MA,CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "PA",
            "license": "AT0000463L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

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.

Verify at the official NPI Registry.