Individual provider Active NPI

Suzanne S O'Connor, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Indianapolis, IN
National Provider Identifier
1467634105
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
23001452A Issued in IN
Practice address
8801 N Meridian St Ste 210
Indianapolis, IN 46260-5315
Phone
(317) 844-8127
NPI assigned
Dec 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 23001452A IN Primary

Addresses

Primary practice location

8801 N Meridian St Ste 210
Indianapolis, IN 46260-5315

Mailing address

8801 N Meridian St Ste 210
Indianapolis, IN 46260-5315
Phone (317) 844-8127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812000054 IN Practitioner - Qualified Audiologist 2860464500 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23001452AINMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey Audiology PC CurrentSince Feb 10, 2004 Accepting new patients

Locations

9011 N Meridian St
Ste 205
Indianapolis, IN 46260
Phone (317) 844-8127

8801 N Meridian St
Ste 210
Indianapolis, IN 46260
Phone (317) 844-8127

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.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1467634105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 N MERIDIAN ST STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605315",
            "telephone_number": "317-844-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 N MERIDIAN ST STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605315",
            "telephone_number": "317-844-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "SUZANNE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IN",
            "license": "23001452A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.