NPIMap

Organization Active NPI

Central Michigan Audiology LLC

  • Audiologist
  • Mt Pleasant, MI
National Provider Identifier
1508910704
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000386 Issued in MI
Legal business name
CENTRAL MICHIGAN AUDIOLOGY LLC
Doing business as
Allied Hearing
Practice address
1290 E Broomfield St
Mt Pleasant, MI 48858-4449
Phone
(989) 773-1209
Fax
(989) 773-4267
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Dr. Shannon Leigh Smith, AU.D.NPI 1154408102
Title
Owner and Dr Aud
Phone
(989) 773-1209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 1601000080 MI
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 1601000386 MI Primary
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X 3501002686 MI

Addresses

Primary practice location

1290 E Broomfield St
Mt Pleasant, MI 48858-4449

Mailing address

1290 E Broomfield St
Mount Pleasant, MI 48858-4449
Phone (989) 773-1209

Other names 1

  • Allied Hearing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070816000167 MI Part B Supplier - Clinic/Group Practice 7012009301 Receives reassigned benefits from 3 practitioners
Practice locations: Mount Pleasant, MI; Midland, MI; Alma, MI

National Provider Directory

National Provider Directory

Locations

4615 Eastman Ave
Midland, MI 48640
Phone (989) 631-7110

Practitioners & affiliated clinicians

Practitioners 4

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1508910704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 E BROOMFIELD ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488584449",
            "telephone_number": "989-773-1209",
            "fax_number": "989-773-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 E BROOMFIELD ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488584449",
            "telephone_number": "989-773-1209",
            "fax_number": "989-773-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MICHIGAN AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER AND DR AUD",
        "authorized_official_telephone_number": "989-773-1209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000080",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000386",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3501002686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allied Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.