Organization Active NPI

Midwest Hearing & Audiology, Inc.

  • Audiologist
  • Hagerstown, IN
National Provider Identifier
1467617027
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002155A Issued in IN
Legal business name
MIDWEST HEARING & AUDIOLOGY, INC.
Practice address
115 E Main St
Suite 3
Hagerstown, IN 47346-1302
Phone
(765) 489-1388
Fax
(765) 489-4228
NPI assigned
Jul 23, 2008
Last updated
Jul 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Michelle C. Siegman, M.A., CCC-ANPI 1427199611
Title
Owner/Audiologist
Phone
(765) 489-1388

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)CodeLicenseStatePrimary
Audiologist 231H00000X 23002155A IN Primary

Addresses

Primary practice location

115 E Main St
Suite 3
Hagerstown, IN 47346-1302

Mailing address

115 E Main St
Suite 3
Hagerstown, IN 47346-1302
Phone (765) 489-1388

Other identifiers 1

IdentifierTypeStateIssuer
000000215970OtherBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111110000404 IN Part B Supplier - Clinic/Group Practice 5193999001 Receives reassigned benefits from 1 practitioner
Practice locations: Hagerstown, IN

National Provider Directory

National Provider Directory

Locations

115 E Main St
Ste 3
Hagerstown, IN 47346
Phone (765) 489-1388

Practitioners & affiliated clinicians

Practitioners 1

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": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1467617027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "HAGERSTOWN",
            "state": "IN",
            "postal_code": "473461302",
            "telephone_number": "765-489-1388",
            "fax_number": "765-489-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "HAGERSTOWN",
            "state": "IN",
            "postal_code": "473461302",
            "telephone_number": "765-489-1388",
            "fax_number": "765-489-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HEARING & AUDIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "SIEGMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "765-489-1388",
        "authorized_official_credential": "M.A., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002155A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000215970",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.