Active NPI
Gregory Joseph Maag, M.A.-FAAA
- Audiologist
- Alton, IL
National Provider Identifier
1467632570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147 000375
- Practice address
- 1417 Washington Ave
Alton, IL 62002-3964 - Phone
- (618) 462-7900
- Fax
- (618) 462-0179
- NPI assigned
- Nov 6, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147 000375 | IL | Primary |
Addresses
Primary practice location
1417 Washington Ave
Alton, IL 62002-3964
Mailing address
1417 Washington Ave
Alton, IL 62002-3964
Phone (618) 462-7900
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147 000375 | IL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Advice Hearing Doctors LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hearing Aid Equipment
- Hollister, MO
- NPI 1588737548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1467632570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 WASHINGTON AVE",
"city": "ALTON",
"state": "IL",
"postal_code": "620023964",
"telephone_number": "618-462-7900",
"fax_number": "618-462-0179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 WASHINGTON AVE",
"city": "ALTON",
"state": "IL",
"postal_code": "620023964",
"telephone_number": "618-462-7900",
"fax_number": "618-462-0179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAAG",
"first_name": "GREGORY",
"middle_name": "JOSEPH",
"credential": "M.A.-FAAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-06",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147 000375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.