Clyde Vadasz

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

F0345400 Issued in PA

Practice address

2668 N Susquehanna TRL
Shamokin Dam, PA 17876-9105

Phone

(570) 743-0000

NPI assigned

Dec 7, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1316282932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 SIMPSON FERRY RD",
            "address_2": "STE 202",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170116405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2668 N SUSQUEHANNA TRL",
            "city": "SHAMOKIN DAM",
            "state": "PA",
            "postal_code": "178769105",
            "telephone_number": "570-743-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADASZ",
        "first_name": "CLYDE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "PA",
            "license": "F0345400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing Instrument Specialist in Shamokin Dam, PA
• Providers in Shamokin Dam, PA by specialty
• Hearing Instrument Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.