Active NPI
Jeremy Nordquist, HIS
- Hearing Instrument Specialist
- Plymouth, MI
National Provider Identifier
1376971861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3501004866
- Practice address
- 537 Ann Arbor Rd W
Plymouth, MI 48170 - Phone
- (734) 667-5679
- NPI assigned
- Oct 22, 2013
- Last updated
- Oct 23, 2013
- 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 | 3501004866 | MI | Primary |
Addresses
Primary practice location
537 Ann Arbor Rd W
Plymouth, MI 48170
Mailing address
537 Ann Arbor Rd W
Plymouth, MI 48170
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 |
|---|---|---|---|
| 3501004866 | MI | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epakouo Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382486400000",
"number": "1376971861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 ANN ARBOR RD W",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "48170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 ANN ARBOR RD W",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "48170",
"telephone_number": "734-667-5679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDQUIST",
"first_name": "JEREMY",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-22",
"last_updated": "2013-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MI",
"license": "3501004866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.