Active NPI
Paul Wirhanawski, BC-HIS
- Hearing Instrument Specialist
- Blakely, PA
National Provider Identifier
1417120403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- FO2677
- Practice address
- 103 Main St
Blakely, PA 18447-1231 - Phone
- (570) 383-6525
- Fax
- (570) 383-4961
- NPI assigned
- Apr 10, 2008
- Last updated
- Apr 10, 2008
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | FO2677 | PA | Primary |
Addresses
Primary practice location
103 Main St
Blakely, PA 18447-1231
Mailing address
103 Main St
Blakely, PA 18447-1231
Phone (570) 383-6525
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FO2677 | PA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1417120403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 MAIN ST",
"city": "BLAKELY",
"state": "PA",
"postal_code": "184471231",
"telephone_number": "570-383-6525",
"fax_number": "570-383-4961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MAIN ST",
"city": "BLAKELY",
"state": "PA",
"postal_code": "184471231",
"telephone_number": "570-383-6525",
"fax_number": "570-383-4961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIRHANAWSKI",
"first_name": "PAUL",
"name_prefix": "Mr.",
"credential": "BC-HIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-10",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "PA",
"license": "FO2677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blakely, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.