Organization Active NPI

Dr Geisslers Hearing Center Inc

  • Audiologist
  • Munster, IN
National Provider Identifier
1508315235
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
DR GEISSLERS HEARING CENTER INC
Practice address
10110 Donald S. Powers Drive
Suite 202a
Munster, IN 46321-9191
Phone
(219) 836-0022
Fax
(219) 836-7922
NPI assigned
Sep 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
David Leon Tolliver
Title
Executive Director
Phone
(219) 931-4725

Specialties & licenses 1

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

Addresses

Primary practice location

10110 Donald S. Powers Drive
Suite 202a
Munster, IN 46321-9191

Mailing address

7134 Calumet Ave
Hammond, IN 46324-2406
Phone (219) 931-4725

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171011001825 IN Part B Supplier - Clinic/Group Practice 0042585432 Receives reassigned benefits from 1 practitioner
Practice locations: Hammond, IN; Munster, IN

National Provider Directory

National Provider Directory

Locations

7134 Calumet Ave
Hammond, IN 46324
Phone (219) 931-4725

10110 Donald S Powers Dr
Ste 202A
Munster, IN 46321
Phone (219) 836-0022

Practitioners & affiliated clinicians

Practitioners 1

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": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1508315235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7134 CALUMET AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463242406",
            "telephone_number": "219-931-4725",
            "fax_number": "219-932-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 DONALD S. POWERS DRIVE",
            "address_2": "SUITE 202A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463219191",
            "telephone_number": "219-836-0022",
            "fax_number": "219-836-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GEISSLERS HEARING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "TOLLIVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "219-931-4725"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.