Individual provider Active NPI

Ljubisa Tasich, HEARING AID DEALER

  • Hearing Instrument Specialist
  • Troy, MI
National Provider Identifier
1437321916
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
3501004651 Issued in MI
Practice address
200 E Big Beaver Rd
Troy, MI 48083-1208
Phone
(586) 604-5558
Fax
(248) 608-4612
NPI assigned
Mar 25, 2008
Last updated
Jul 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 3501004651 MI Primary

Addresses

Primary practice location

200 E Big Beaver Rd
Troy, MI 48083-1208

Mailing address

1625 Stonecrest Dr
Rochester Hills, MI 48307-3472
Phone (586) 604-5558

Other identifiers 2

IdentifierTypeStateIssuer
900E06513OtherBCBS
EYEMEDOther110955

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

LicenseStateTypeSpecialty
3501004651MIMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1437321916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 STONECREST DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073472",
            "telephone_number": "586-604-5558",
            "fax_number": "248-608-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831208",
            "telephone_number": "586-604-5558",
            "fax_number": "248-608-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASICH",
        "first_name": "LJUBISA",
        "name_prefix": "Mr.",
        "credential": "HEARING AID DEALER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-25",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3501004651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900E06513",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "110955",
            "identifier": "EYEMED",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.