Lund Leo Stucki, AUDIOPROSTHOLOGIST B

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

BHAD4989 Issued in AZ

Practice address

1847 Pacific Ave
Affordable Hearing Care
Kingman, AZ 86401

Phone

(928) 753-7060

Fax

(928) 753-7078

NPI assigned

Apr 29, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Affordable Hearing Care

  • Hearing Instrument Specialist
  • Kingman, AZ
  • NPI 1740421387
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1427223536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 PACIFIC AVE",
            "address_2": "AFFORDABLE HEARING CARE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86401",
            "telephone_number": "928-753-7060",
            "fax_number": "928-753-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 PACIFIC AVE",
            "address_2": "AFFORDABLE HEARING CARE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86401",
            "telephone_number": "928-753-7060",
            "fax_number": "928-753-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKI",
        "first_name": "LUND",
        "middle_name": "LEO",
        "name_prefix": "Mr.",
        "credential": "AUDIOPROSTHOLOGIST B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "BHAD4989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0421540",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wylie C Stevens
• Alexis Kaye Stewart, LISW
• Mark Allen Stradling, DO
• Kerilei R Strawn, CTC - NCCA
• Taryn Strong
• Karen Stump
• Daniela Suarez, DO
• Mohammad Abdul Subhan, M.D.
• Daniel Joseph Sullivan, M.D.
• Jerry L Sullivan, DDS

• Hearing Instrument Specialist in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Hearing Instrument Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.