NPIMap

Organization Active NPI

Imaginears, Inc.

  • Audiologist-Hearing Aid Fitter
  • Medford, OR
National Provider Identifier
1447470158
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
22174 Issued in OR
Legal business name
IMAGINEARS, INC.
Practice address
42 Hawthorne St
Medford, OR 97504-7114
Phone
(541) 776-3461
Fax
(541) 776-0482
NPI assigned
Apr 26, 2007
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Mrs. Elizabeth D Tangel, MSCCCA
Title
Audiologist
Phone
(541) 776-3461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 22174 OR Primary

Addresses

Primary practice location

42 Hawthorne St
Medford, OR 97504-7114

Mailing address

1401 Upper Applegate Rd
Jacksonville, OR 97530-9179
Phone (541) 899-2007

Other identifiers 1

IdentifierTypeStateIssuer
226610MedicaidOR

Other names 1

  • Imaginears Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050908000722 OR Part B Supplier - Clinic/Group Practice 0446282628 Receives reassigned benefits from 2 practitioners
Practice locations: Ashland, OR; Medford, OR

National Provider Directory

National Provider Directory
Tax ID family
Imaginears3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1661 Highway 99 N
Ste 202
Ashland, OR 97520
Phone (541) 488-0628

306 Effie St
Medford, OR 97504
Phone (541) 776-3461

42 Hawthorne St
Medford, OR 97504
Phone (451) 776-3461

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1447470158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 UPPER APPLEGATE RD",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309179",
            "telephone_number": "541-899-2007",
            "fax_number": "541-776-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 HAWTHORNE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047114",
            "telephone_number": "541-776-3461",
            "fax_number": "541-776-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINEARS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "TANGEL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "541-776-3461",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSCCCA"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OR",
            "license": "22174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226610",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imaginears",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.