Active NPI
Mitchell D. Marcus, BC-HIS
- Hearing Instrument Specialist
- Bloomington, MN
National Provider Identifier
1528064474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2090
- Practice address
- 8714 Lyndale Ave S
Bloomington, MN 55420-2738 - Phone
- (952) 881-1188
- Fax
- (952) 881-1180
- NPI assigned
- Jun 24, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2090 | MN | Primary |
Addresses
Primary practice location
8714 Lyndale Ave S
Bloomington, MN 55420-2738
Mailing address
2800 W Higgins Rd
Suite 895
Hoffman Estates, IL 60169-2071
Phone (847) 843-1900
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 |
|---|---|---|---|
| 2090 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accuquest Hearing Center, LLC | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hearing and Speech Clinic/Center
- Midland, MI
- NPI 1851425698
Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1528064474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 W HIGGINS RD",
"address_2": "SUITE 895",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601692071",
"telephone_number": "847-843-1900",
"fax_number": "847-843-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8714 LYNDALE AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554202738",
"telephone_number": "952-881-1188",
"fax_number": "952-881-1180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "MITCHELL",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "BC-HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MN",
"license": "2090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.