Organization Active NPI

Sherry Hodge Au.D., LLC

  • Audiologist
  • Anderson, IN
National Provider Identifier
1396920849
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23001704A Issued in IN
Legal business name
SHERRY HODGE AU.D., LLC
Doing business as
Advanced Hearing Care
Practice address
1827 N Madison Ave
Suite C
Anderson, IN 46011-2166
Phone
(765) 608-3277
Fax
(765) 608-3278
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Mrs. Sherry Lynne Hodge, AU.D.NPI 1841292133
Title
Owner
Phone
(765) 608-3277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 23001704A IN Primary

Addresses

Primary practice location

1827 N Madison Ave
Suite C
Anderson, IN 46011-2166

Mailing address

1827 N Madison Ave
Suite C
Anderson, IN 46011-2166
Phone (765) 608-3277

Other names 1

  • Advanced Hearing Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080123000383 IN Part B Supplier - Clinic/Group Practice 1355423864 Receives reassigned benefits from 1 practitioner
Practice locations: Anderson, IN

National Provider Directory

National Provider Directory

Locations

1827 N Madison Ave
Ste C
Anderson, IN 46011
Phone (765) 608-3277

Practitioners & affiliated clinicians

Practitioners 2

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": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1396920849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 N MADISON AVE",
            "address_2": "SUITE C",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460112166",
            "telephone_number": "765-608-3277",
            "fax_number": "765-608-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 N MADISON AVE",
            "address_2": "SUITE C",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460112166",
            "telephone_number": "765-608-3277",
            "fax_number": "765-608-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY HODGE AU.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-608-3277",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23001704A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Hearing Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.