Active NPI
Austin Thomas Fidler, HIS
- Hearing Instrument Specialist
- Muncie, IN
National Provider Identifier
1497346571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 17001530A
- Practice address
- 3605 N Everbrook LN
Muncie, IN 47304 - Phone
- (765) 587-3630
- NPI assigned
- Feb 1, 2021
- Last updated
- Feb 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | IL.03424 | OH | |
| Hearing Instrument Specialist | 237700000X | 17001530A | IN | Primary |
Addresses
Primary practice location
3605 N Everbrook LN
Muncie, IN 47304
Mailing address
11367 East 900 South-27
Hartford City, IN 47348
Phone (765) 251-5858
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17001530A | IN | MD | Hearing Instrument Specialist |
| IL.03424 | OH | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Hearing LLC | Past | Accepting new patients | |
| Indiana Hearing LLC | Past | Accepting new patients | |
| Indiana Hearing LLC | Past | Accepting new patients | |
| Indiana Hearing LLC | Past | Accepting new patients | |
| Indiana Hearing LLC | Past | Accepting new patients | |
| Indiana Hearing LLC | Past | Accepting new patients | |
| Indiana Hearing LLC | Past | Accepting new patients | |
| Indiana Hearing LLC | Past | Accepting new patients | |
| Indiana Hearing LLC | Past | Accepting new patients | |
| Indiana Hearing LLC | Past | Accepting new patients | |
| Indiana Hearing LLC | Past | Accepting new patients | |
| Indiana Hearing LLC | Past | Accepting new patients | |
| Indiana Hearing LLC | Past | Accepting new patients | |
| Indiana Hearing LLC | Past | Accepting new patients | |
| Indiana Hearing LLC | Past | Accepting new patients | |
| Indiana Hearing LLC | Past | Accepting new patients |
Organizations & group practices 16
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": "1612137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1497346571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11367 EAST 900 SOUTH-27",
"city": "HARTFORD CITY",
"state": "IN",
"postal_code": "47348",
"telephone_number": "765-251-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 N EVERBROOK LN",
"city": "MUNCIE",
"state": "IN",
"postal_code": "47304",
"telephone_number": "765-587-3630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIDLER",
"first_name": "AUSTIN",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-01",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "OH",
"license": "IL.03424",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IN",
"license": "17001530A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.