NPIMap

Organization Active NPI

Odyssey Audiology PC

Doing business as Professional Hearing Services, Inc.

  • Audiologist
  • Indianapolis, IN
National Provider Identifier
1427180348
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23001452A Issued in IN
Legal business name
ODYSSEY AUDIOLOGY PC
Doing business as
Professional Hearing Services, Inc.
Practice address
9011 N Meridian St
205
Indianapolis, IN 46260-5378
Phone
(317) 844-8127
Fax
(317) 844-1168
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Suzanne Sampson Oconnor, AUDNPI 1467634105
Title
President
Phone
(317) 844-8127

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: 193200000X MULTI-SPECIALTY GROUP 231H00000X 23001452A IN Primary

Addresses

Primary practice location

9011 N Meridian St
205
Indianapolis, IN 46260-5378

Mailing address

9011 N Meridian St
205
Indianapolis, IN 46260-5378
Phone (317) 844-8127

Other practice location 1

8801 N Meridian St
#210
Indianapolis, IN 46260
Phone (317) 844-8127

Other identifiers 1

IdentifierTypeStateIssuer
000000335728OtherINBCBS

Other names 1

  • Professional Hearing Services, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040809000842 IN Part B Supplier - Clinic/Group Practice 3971574484 Receives reassigned benefits from 3 practitioners
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

9011 N Meridian St
Ste 205
Indianapolis, IN 46260
Phone (317) 844-8127

8801 N Meridian St
Ste 210
Indianapolis, IN 46260
Phone (317) 844-8127

Practitioners & affiliated clinicians

Practitioners 4

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": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1427180348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 N MERIDIAN ST",
            "address_2": "205",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605378",
            "telephone_number": "317-844-8127",
            "fax_number": "317-844-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 N MERIDIAN ST",
            "address_2": "205",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605378",
            "telephone_number": "317-844-8127",
            "fax_number": "317-844-1168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8801 N Meridian St",
            "address_2": "#210",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46260",
            "country_code": "US",
            "telephone_number": "317-844-8127",
            "fax_number": "317-844-1168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ODYSSEY AUDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "SAMPSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-844-8127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23001452A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000335728",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Hearing Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.