Active NPI
Professional Hearing and Audiology Clinics LTD
- Audiologist-Hearing Aid Fitter
- Madison, WI
National Provider Identifier
1477675510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 0229
- Legal business name
- PROFESSIONAL HEARING AND AUDIOLOGY CLINICS LTD
- Practice address
- 5133 W Terrace Dr
Suite 203
Madison, WI 53718-2142 - Phone
- (608) 443-1016
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Donald R Kleindl II, BC, ACA, HIS, MCAP
- Title
- President Audioprosthologist
- Phone
- (815) 979-4112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 0229 | IL | Primary |
Addresses
Primary practice location
5133 W Terrace Dr
Suite 203
Madison, WI 53718-2142
Mailing address
805 E State St
Cherry Valley, IL 61016-9363
Phone (815) 332-5350
National Provider Directory
National Provider DirectoryLocations
5133 W Terrace Dr
Ste 203
Madison, WI 53718
Phone (608) 244-3100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477675510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 E STATE ST",
"city": "CHERRY VALLEY",
"state": "IL",
"postal_code": "610169363",
"telephone_number": "815-332-5350",
"fax_number": "815-332-9668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5133 W TERRACE DR",
"address_2": "SUITE 203",
"city": "MADISON",
"state": "WI",
"postal_code": "537182142",
"telephone_number": "608-443-1016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL HEARING AND AUDIOLOGY CLINICS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KLEINDL",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT AUDIOPROSTHOLOGIST",
"authorized_official_telephone_number": "815-979-4112",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "BC, ACA, HIS, MCAP"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "IL",
"license": "0229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.