Individual provider Active NPI

Thomas Robert Parry, AU.D.

  • Audiologist
  • Appleton, WI
National Provider Identifier
1497063515
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000563 Issued in MI
Practice address
2245 S Oneida St
Appleton, WI 54915-1657
Phone
(920) 475-2331
NPI assigned
Sep 23, 2010
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000563 MI Primary

Addresses

Primary practice location

2245 S Oneida St
Appleton, WI 54915-1657

Mailing address

2245 S Oneida St
Appleton, WI 54915-1657
Phone (920) 475-2331

Other practice location 1

1520 N Meade St
Appleton, WI 54911-3762
Phone (920) 560-6748

Other practice location 2

1520 N Meade St
Appleton, WI 54911-3762
Phone (920) 560-6748

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150107001992 WI Practitioner - Qualified Audiologist 3870778178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2245 S Oneida St
Appleton, WI 54915-1657
Phone (920) 731-9611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology and Hearing Services of the Fox Cities Audiologist CurrentSince Apr 22, 2018 Accepting new patients
Audiology & Hearing Services Inc. CurrentSince Apr 22, 2018 Accepting new patients

Locations

2245 S Oneida St
Appleton, WI 54915
Phone (920) 475-2331

Organizations & group practices 3

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": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497063515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 S ONEIDA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151657",
            "telephone_number": "920-475-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 S ONEIDA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151657",
            "telephone_number": "920-475-2331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549113762",
            "country_code": "US",
            "telephone_number": "920-560-6748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549113762",
            "country_code": "US",
            "telephone_number": "920-560-6748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRY",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.