Active NPI
Anthony Wayne Wilson
- Hearing Instrument Specialist
- Madisonville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 246960
- Practice address
- 194 Madison Square Dr Ste 1
Madisonville, KY 42431-2794 - Phone
- (270) 821-9451
- NPI assigned
- Feb 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 17001514A | IN | |
| Hearing Instrument Specialist | 237700000X | 246960 | KY | Primary |
Addresses
Primary practice location
194 Madison Square Dr Ste 1
Madisonville, KY 42431-2794
Mailing address
194 Madison Square Dr Ste 1
Madisonville, KY 42431-2794
Phone (270) 821-9451
Other practice location 1
105B W 18th St # B
Hopkinsville, KY 42240-1960
Phone (270) 886-0244
Other practice location 2
815 John St Ste 110
Evansville, IN 47713-2746
Phone (812) 589-5824
Other practice location 3
212 S Richland Creek Dr
Princeton, IN 47670-9569
Phone (812) 589-5824
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17001514A | IN | MD | Hearing Instrument Specialist |
| 246960 | KY | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Hearing Care, LLC | Current | Accepting new patients | |
| Enright & Associates, Inc | Past | Accepting new patients | |
| Enright and Associates, Inc | Hearing Instrument Specialist | Past | Accepting new patients |
Locations
815 John St
Ste 110
Evansville, IN 47713
Phone (812) 221-2710
212 S Richland Creek Dr
Princeton, IN 47670
Phone (812) 385-2897
55 Career Way
Central City, KY 42330
105B W 18th St
Hopkinsville, KY 42240
Phone (270) 889-0567
105 W 18th St
#B
Hopkinsville, KY 42240
Phone (270) 885-0790
194 Madison Square Dr
Ste 1
Madisonville, KY 42431
Phone (270) 821-9451
200 N Main St
Madisonville, KY 42431
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 and National Provider Directory roles.
-
- Hearing Aid Equipment
- Madisonville, KY
- NPI 1801429345
-
- Audiologist-Hearing Aid Fitter
- Evansville, IN
- NPI 1013275296
-
- Hearing Instrument Specialist
- Evansville, IN
- NPI 1023365012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1356807697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 MADISON SQUARE DR STE 1",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424312794",
"telephone_number": "270-821-9451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 MADISON SQUARE DR STE 1",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424312794",
"telephone_number": "270-821-9451"
}
],
"practiceLocations": [
{
"address_1": "105B W 18th St # B",
"address_purpose": "LOCATION",
"city": "Hopkinsville",
"state": "KY",
"postal_code": "422401960",
"country_code": "US",
"telephone_number": "270-886-0244",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "815 John St Ste 110",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477132746",
"country_code": "US",
"telephone_number": "812-589-5824",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "212 S Richland Creek Dr",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "IN",
"postal_code": "476709569",
"country_code": "US",
"telephone_number": "812-589-5824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "ANTHONY",
"middle_name": "WAYNE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-12",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IN",
"license": "17001514A",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "KY",
"license": "246960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.