Noel Ivan Rendleman, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000013 Issued in MI

Practice address

19991 Hall Rd Ste 102
Macomb, MI 48044-4254

Phone

(586) 263-4401

Fax

(586) 263-4402

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Ear Nose and Throat Consultants PC

  • Specialist
  • Southfield, MI
  • NPI 1053484048
  NPD (past)
• George Iwanow Hearing Aid Centers Inc

  • Durable Medical Equipment & Medical Supplies
  • Macomb, MI
  • NPI 1609939925
  NPD (past)
• Audiology Distribution, LLC

  • Audiologist-Hearing Aid Fitter
  • Dublin, OH
  • NPI 1164707998
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1508904822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19991 HALL RD STE 102",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444254",
            "telephone_number": "586-263-4401",
            "fax_number": "586-263-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19991 HALL RD STE 102",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444254",
            "telephone_number": "586-263-4401",
            "fax_number": "586-263-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDLEMAN",
        "first_name": "NOEL",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "MI",
            "license": "1601000013",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000013",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eliseo Renteria Jr.
• Resident Reach L.L.C.
• Respiratory Revolutions LLC
• Revitalize Psychological Services, PLLC
• Heather Kristen Rice, LMSW

• Audiologist in Macomb, MI
• Providers in Macomb, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.