John Reimbold

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147000156 Issued in IL

Legal business name

JOHN REIMBOLD

Doing business as

Carbondale Hearing Center

Practice address

1717 W Main Street
Carbondale, IL 62901

Phone

(618) 457-6643

Fax

(618) 457-6643

NPI assigned

Jul 28, 2006

Last updated

Oct 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Beth A Hicks

Title

Office Manager

Phone

(618) 457-6643

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Carbondale Hearing Center Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Reimbold, MS CCCA

  • Audiologist
  • Carbondal, IL
  • NPI 1427069541
  NPD
• Paula K Harris, AU.D., CCC-A

  • Audiologist
  • West Frankfort, IL
  • NPI 1356359939
  NPD (past)
• Michael Joe Hicks, AU.D,CCC-A

  • Audiologist
  • Metropolis, IL
  • NPI 1417142449
  NPD (past)
• Evan A. Reimbold, HEARING INSTRUMENT D

  • Hearing Instrument Specialist
  • Carbendale, IL
  • NPI 1508152117
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1508870585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1058",
            "address_2": "1717 W MAIN STREET",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629031058",
            "telephone_number": "618-457-6643",
            "fax_number": "618-457-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W MAIN STREET",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "62901",
            "telephone_number": "618-457-6643",
            "fax_number": "618-457-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN REIMBOLD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-457-6643",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "2354",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147000156",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001158",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147000788",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "0394",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359446176001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carbondale Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carbondale Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Ann Jarvis, MA
• Angela M Jenkins
• Jenny Moss Occupational Therapy Services, Inc.
• Nichole Jeters, LCPC
• Basmah Naser Jilani, MD
• Cindy P Johnson, LCPC
• Dominic Dwayne Johnson
• Joshua K Johnson, RN
• Matthew Johnson
• Molly T Johnson, FNP-BC

• Audiologist in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.