Active NPI
Ljubisa Tasich, HEARING AID DEALER
- Hearing Instrument Specialist
- Troy, MI
National Provider Identifier
1437321916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3501004651
- 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, 2014
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900E06513 | Other | BCBS | |
| EYEMED | Other | 110955 |
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 |
|---|---|---|---|
| 3501004651 | MI | MD | Hearing 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.