Active NPI
Gregory Kemper
- Hearing Instrument Specialist
- Effingham, IL
National Provider Identifier
1376928762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3038
- Practice address
- 1302 Avenue of Mid America
Effingham, IL 62401-4647 - Phone
- (217) 342-1122
- Fax
- (217) 342-1124
- NPI assigned
- Jul 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 3038 | IL | Primary |
Addresses
Primary practice location
1302 Avenue of Mid America
Effingham, IL 62401-4647
Mailing address
1302 Avenue of Mid America
Effingham, IL 62401-4647
Phone (217) 342-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3038 | Other | IL | HEARING DISPENSER LICENSE |
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 |
|---|---|---|---|
| 3038 | IL | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1376928762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 AVENUE OF MID AMERICA",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624014647",
"telephone_number": "217-342-1122",
"fax_number": "217-342-1124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 AVENUE OF MID AMERICA",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624014647",
"telephone_number": "217-342-1122",
"fax_number": "217-342-1124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMPER",
"first_name": "GREGORY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-27",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "3038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARING DISPENSER LICENSE",
"identifier": "3038",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Effingham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.