Organization Active NPI

Hearing Services of Cape Ann

  • Audiologist
  • Gloucester, MA
National Provider Identifier
1346441516
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
430 Issued in MA
Legal business name
HEARING SERVICES OF CAPE ANN
Practice address
1 Blackburn Dr
Gloucester, MA 01930-2237
Phone
(978) 283-6888
Fax
(978) 283-8655
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Celia W Logsdon, AU.D.NPI 1629039151
Title
Audiologist
Phone
(978) 283-6888

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 430 MA Primary

Addresses

Primary practice location

1 Blackburn Dr
Gloucester, MA 01930-2237

Mailing address

1 Blackburn Dr
Gloucester, MA 01930-2237
Phone (978) 283-6888

Other identifiers 1

IdentifierTypeStateIssuer
110072825AMedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090929000046 MA Part B Supplier - Clinic/Group Practice 3577619824 Receives reassigned benefits from 3 practitioners
Practice locations: Beverly, MA; Gloucester, MA

National Provider Directory

National Provider Directory

Locations

75 Herrick St
Ste 117
Beverly, MA 01915
Phone (978) 283-6888

Practitioners & affiliated clinicians

Practitioners 3

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1346441516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BLACKBURN DR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302237",
            "telephone_number": "978-283-6888",
            "fax_number": "978-283-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BLACKBURN DR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302237",
            "telephone_number": "978-283-6888",
            "fax_number": "978-283-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING SERVICES OF CAPE ANN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "LOGSDON",
        "authorized_official_first_name": "CELIA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "978-283-6888",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MA",
            "license": "430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110072825A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.