Active NPI
Scott J Raszler, M.A. CCC-A
- Audiologist-Hearing Aid Fitter
- Poulsbo, WA
National Provider Identifier
1417055997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- LD00002050
- Practice address
- 22180 Olympic College Way
Suite 205
Poulsbo, WA 98370-6664 - Phone
- (360) 697-1300
- Fax
- (360) 697-3238
- NPI assigned
- Sep 20, 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-Hearing Aid Fitter | 237600000X | LD00002050 | WA | Primary |
Addresses
Primary practice location
22180 Olympic College Way
Suite 205
Poulsbo, WA 98370-6664
Mailing address
22180 Olympic College Way
Suite 205
Poulsbo, WA 98370-6664
Phone (360) 697-1300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9029752 | Medicaid | WA | |
| 7037948 | Medicaid | WA |
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympic Radiology LLC | 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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Poulsbo, WA
- NPI 1649575986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1417055997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22180 OLYMPIC COLLEGE WAY",
"address_2": "SUITE 205",
"city": "POULSBO",
"state": "WA",
"postal_code": "983706664",
"telephone_number": "360-697-1300",
"fax_number": "360-697-3238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22180 OLYMPIC COLLEGE WAY",
"address_2": "SUITE 205",
"city": "POULSBO",
"state": "WA",
"postal_code": "983706664",
"telephone_number": "360-697-1300",
"fax_number": "360-697-3238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASZLER",
"first_name": "SCOTT",
"middle_name": "J",
"credential": "M.A. CCC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WA",
"license": "LD00002050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9029752",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7037948",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.