Active NPI
Charles L Gillum, AUD.
- Audiologist
- Manhattan, KS
National Provider Identifier
1407933583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 368
- Practice address
- 1213 Hylton Heights Rd
Sutie 105
Manhattan, KS 66502-2810 - Phone
- (785) 537-4005
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 368 | KS | Primary |
Addresses
Primary practice location
1213 Hylton Heights Rd
Sutie 105
Manhattan, KS 66502-2810
Mailing address
1213 Hylton Heights Rd
Sutie 105
Manhattan, KS 66502-2810
Phone (785) 537-4005
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Center Inc | Audiologist | Past | Accepting new patients |
| Hearing Doctors of North America LLC | Audiologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Manhattan, KS
- NPI 1427135508
-
- Audiologist
- Manhattan, KS
- NPI 1780832733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407933583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 HYLTON HEIGHTS RD",
"address_2": "SUTIE 105",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665022810",
"telephone_number": "785-537-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 HYLTON HEIGHTS RD",
"address_2": "SUTIE 105",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665022810",
"telephone_number": "785-537-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLUM",
"first_name": "CHARLES",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "AUD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KS",
"license": "368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.