Active NPI
Jeffrey Curtis Dittmer, AU.D
- Audiologist
- Claysville, PA
National Provider Identifier
1396834503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT-000961L
- Practice address
- 241 Lyons Rd
Claysville, PA 15323-1288 - Phone
- (724) 747-7581
- Fax
- (724) 663-5360
- NPI assigned
- Oct 12, 2006
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT-000961L | PA | Primary |
Addresses
Primary practice location
241 Lyons Rd
Claysville, PA 15323-1288
Mailing address
241 Lyons Rd
Claysville, PA 15323-1288
Phone (724) 747-7581
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-000961L | PA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1396834503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 LYONS RD",
"city": "CLAYSVILLE",
"state": "PA",
"postal_code": "153231288",
"telephone_number": "724-747-7581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 LYONS RD",
"city": "CLAYSVILLE",
"state": "PA",
"postal_code": "153231288",
"telephone_number": "724-747-7581",
"fax_number": "724-663-5360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITTMER",
"first_name": "JEFFREY",
"middle_name": "CURTIS",
"name_prefix": "Mr.",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT-000961L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claysville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.