Organization Active NPI

Midmichigan Audiology Services Inc

  • Audiologist
  • Midland, MI
National Provider Identifier
1477574705
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000045 Issued in MI
Legal business name
MIDMICHIGAN AUDIOLOGY SERVICES INC
Practice address
2520 McCandless Dr
Midland, MI 48640-6115
Phone
(989) 839-6201
Fax
(989) 839-6202
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Herbert Camp, M.D.
Title
Owner
Phone
(989) 839-6201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 1601000045 MI Primary

Addresses

Primary practice location

2520 McCandless Dr
Midland, MI 48640-6115

Mailing address

PO Box 1446
Midland, MI 48641-1446
Phone (989) 839-6201

Other identifiers 3

IdentifierTypeStateIssuer
540E602710OtherMIBCBS
040E610050OtherMIBCBS
640E626040OtherMIBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071002000476 MI Part B Supplier - Clinic/Group Practice 5193810414 Receives reassigned benefits from 3 practitioners
Practice locations: Midland, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1477574705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1446",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486411446",
            "telephone_number": "989-839-6201",
            "fax_number": "989-839-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 MCCANDLESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406115",
            "telephone_number": "989-839-6201",
            "fax_number": "989-839-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDMICHIGAN AUDIOLOGY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-839-6201",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "540E602710",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "040E610050",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "640E626040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.