Individual provider Active NPI

Mark Allen Rau, HEARING AID SPECIALI

  • Hearing Instrument Specialist
  • Eau Claire, WI
National Provider Identifier
1376722025
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1210060 Issued in WI
Practice address
2430 London Road
Eau Claire, WI 54701-6730
Phone
(715) 832-5650
Fax
(715) 835-5669
NPI assigned
Oct 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 1210060 WI Primary

Addresses

Primary practice location

2430 London Road
Eau Claire, WI 54701-6730

Mailing address

2430 London Road
Eau Claire, WI 54701-6730
Phone (715) 832-5650

Other identifiers 1

IdentifierTypeStateIssuer
42839900OtherWIMEDICAL PROGRAM BILLING P

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
1210060WIMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1376722025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 LONDON ROAD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016730",
            "telephone_number": "715-832-5650",
            "fax_number": "715-835-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 LONDON ROAD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016730",
            "telephone_number": "715-832-5650",
            "fax_number": "715-835-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAU",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "HEARING AID SPECIALI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1210060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROGRAM BILLING P",
            "identifier": "42839900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.