Individual provider Active NPI

Greg A. Schroeder

  • Hearing Instrument Specialist
  • Twin Falls, ID
National Provider Identifier
1477720712
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA-1556 Issued in ID
Practice address
522 Addison Ave W
Twin Falls, ID 83301-5039
Phone
(208) 913-0224
NPI assigned
May 15, 2008
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA-1556 ID Primary

Addresses

Primary practice location

522 Addison Ave W
Twin Falls, ID 83301-5039

Mailing address

522 Addison Ave W
Twin Falls, ID 83301-5039
Phone (208) 913-0224

Other practice location 1

1239 Pole Line Rd E
Ste314C
Twin Falls, ID 83301-6046
Phone (208) 733-0601

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HA-1556IDMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Schroeder's Hearing Aid Services & Audiology Inc Single Specialty CurrentSince Feb 23, 2025 Accepting new patients
Hearing Counselors and Audiologists, Inc Single Specialty Past Accepting new patients

Locations

522 Addison Ave W
Twin Falls, ID 83301
Phone (208) 913-0224

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1477720712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 ADDISON AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015039",
            "telephone_number": "208-913-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 ADDISON AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015039",
            "telephone_number": "208-913-0224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1239 Pole Line Rd E",
            "address_2": "Ste314C",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833016046",
            "country_code": "US",
            "telephone_number": "208-733-0601",
            "fax_number": "208-733-0604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "GREG",
        "middle_name": "A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "ID",
            "license": "HA-1556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.