Healthdrive Audiology Corporation

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Legal business name

HEALTHDRIVE AUDIOLOGY CORPORATION

Practice address

20 S 3Rd St Ste 210
Columbus, OH 43215-4206

Phone

(888) 964-6681

Fax

(888) 662-0859

NPI assigned

Mar 24, 2008

Organization subpart

No

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

Authorized official

Name

Daniel Banks Baker

Title

Ceo

Phone

(857) 255-0486

Specialties & licenses 1

Addresses

Other names 1

• HealthDrive Audiology Group Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Traci Lynn Shane, M.A., CCC/A

  • Audiologist
  • Dublin, OH
  • NPI 1760453245
  NPD (past)

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1568633196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CROSSING BLVD",
            "address_2": "SUITE 300",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025555",
            "telephone_number": "617-964-6681",
            "fax_number": "617-630-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S 3RD ST STE 210",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154206",
            "telephone_number": "888-964-6681",
            "fax_number": "888-662-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHDRIVE AUDIOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "BANKS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "857-255-0486"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthDrive Audiology Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthDrive Audiology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Healthserve Medical Group LLC

• Audiologist-Hearing Aid Fitter in Columbus, OH
• Providers in Columbus, OH by specialty
• Audiologist-Hearing Aid Fitter in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.