Active NPI
Grand Hearing Center LLC
- Hearing Aid Equipment
- Portland, MI
National Provider Identifier
1437417409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- License
- 1601000414
- Legal business name
- GRAND HEARING CENTER LLC
- Practice address
- 1330 E Grand River Ave
Ste B
Portland, MI 48875-1630 - Phone
- (517) 647-4327
- Fax
- (517) 647-2442
- NPI assigned
- Apr 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas Logel Jr., M.A.
- Title
- Audiologist
- Phone
- (517) 647-4327
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | 1601000414 | MI | Primary |
Addresses
Primary practice location
1330 E Grand River Ave
Ste B
Portland, MI 48875-1630
Mailing address
1330 E Grand River Ave
Ste B
Portland, MI 48875-1630
Phone (517) 647-4327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285671164 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
1330 E Grand River Ave
Ste B
Portland, MI 48875
Phone (517) 526-0390
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Muskegon, MI
- NPI 1285671164
-
- Speech-Language Pathologist
- Williamston, MI
- NPI 1710332440
-
- Speech-Language Pathologist
- Portland, MI
- NPI 1750635025
-
- Speech-Language Pathologist
- Williamston, MI
- NPI 1912354754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335484800000",
"number": "1437417409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 E GRAND RIVER AVE",
"address_2": "STE B",
"city": "PORTLAND",
"state": "MI",
"postal_code": "488751630",
"telephone_number": "517-647-4327",
"fax_number": "517-647-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 E GRAND RIVER AVE",
"address_2": "STE B",
"city": "PORTLAND",
"state": "MI",
"postal_code": "488751630",
"telephone_number": "517-647-4327",
"fax_number": "517-647-2442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND HEARING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-27",
"last_updated": "2012-04-27",
"status": "A",
"authorized_official_last_name": "LOGEL",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "AUDIOLOGIST",
"authorized_official_telephone_number": "517-647-4327",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.A."
},
"taxonomies": [
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "MI",
"license": "1601000414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285671164",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.