Organization Active NPI

Audiology & Hearing Services Inc.

  • Audiologist-Hearing Aid Fitter
  • Appleton, WI
National Provider Identifier
1386833259
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
165 Issued in WI
Legal business name
AUDIOLOGY & HEARING SERVICES INC.
Practice address
2245 S Oneida St
Appleton, WI 54915-1657
Phone
(920) 731-9611
Fax
(920) 731-1950
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Dr. Michael K Thelen, Au.D., AU.D.
Title
Doctor of Audiology/Owner
Phone
(920) 731-9611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X 165 WI Primary

Addresses

Primary practice location

2245 S Oneida St
Appleton, WI 54915-1657

Mailing address

2245 S Oneida St
Appleton, WI 54915-1657
Phone (920) 731-9611

Other identifiers 3

IdentifierTypeStateIssuer
1018213OtherWIAMERICHOICE
1906795OtherWIUNITEDHEALTHCARE
41104000MedicaidWI

National Provider Directory

National Provider Directory

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1386833259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 S ONEIDA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151657",
            "telephone_number": "920-731-9611",
            "fax_number": "920-731-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 S ONEIDA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151657",
            "telephone_number": "920-731-9611",
            "fax_number": "920-731-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY & HEARING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "THELEN, AU.D.",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY/OWNER",
        "authorized_official_telephone_number": "920-731-9611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WI",
            "license": "165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "1018213",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "1906795",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41104000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.