Individual provider Active NPI

Anthony Wayne Wilson

  • Hearing Instrument Specialist
  • Madisonville, KY
National Provider Identifier
1356807697
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
246960 Issued in KY
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

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
17001514AINMDHearing Instrument Specialist
246960KYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Hearing Care, LLC CurrentSince Feb 16, 2020 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.

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.

Verify at the official NPI Registry.