Individual provider Active NPI

Alexander Bannon, AUD

  • Audiologist
  • Huntingdon, PA
National Provider Identifier
1326534017
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006568 Issued in PA
Practice address
200 Mifflin St
Huntingdon, PA 16652-1436
Phone
(814) 641-4327
Fax
(814) 641-7104
NPI assigned
Jul 5, 2018
Last updated
Jul 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006568 PA Primary

Addresses

Primary practice location

200 Mifflin St
Huntingdon, PA 16652-1436

Mailing address

200 Mifflin St
Huntingdon, PA 16652-1436
Phone (814) 641-4327

Other practice location 1

100 Oakwood Ave
State College, PA 16803-2636
Phone (814) 641-4327

Other practice location 2

132 Abigail Ln
Port Matilda, PA 16870-7153
Phone (814) 641-4327

Other practice location 3

1130 W 4th St Ste 2
Lewistown, PA 17044-1909
Phone (814) 641-4327

Other identifiers 1

IdentifierTypeStateIssuer
AT006568OtherPASTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180815002040 PA Practitioner - Qualified Audiologist 0345599973 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT006568PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aop, Inc. CurrentSince Oct 11, 2021 Accepting new patients
Keystone Hearing Solutions, LLC Audiologist Past Accepting new patients
Oral Surgery Associates of Central Pennsylvania, PC Past Accepting new patients

Locations

875 Poplar Church Rd
Camp Hill, PA 17011
Phone (717) 761-5131

875 Poplar Church Rd
Ste 320
Camp Hill, PA 17011
Phone (717) 763-7400

Interoperability endpoints

  • Direct secure messaging: abannon@aop.medentdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1326534017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MIFFLIN ST",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166521436",
            "telephone_number": "814-641-4327",
            "fax_number": "814-641-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MIFFLIN ST",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166521436",
            "telephone_number": "814-641-4327",
            "fax_number": "814-641-7104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Oakwood Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032636",
            "country_code": "US",
            "telephone_number": "814-641-4327",
            "fax_number": "814-641-7104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 Abigail Ln",
            "address_purpose": "LOCATION",
            "city": "Port Matilda",
            "state": "PA",
            "postal_code": "168707153",
            "country_code": "US",
            "telephone_number": "814-641-4327",
            "fax_number": "814-641-7104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 W 4th St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lewistown",
            "state": "PA",
            "postal_code": "170441909",
            "country_code": "US",
            "telephone_number": "814-641-4327",
            "fax_number": "814-641-7104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANNON",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AT006568",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.