Organization Active NPI

Southwestern Hearing Care, Inc.

  • Specialist
  • Pittsburgh, PA
National Provider Identifier
1609870062
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AT-000196-L Issued in PA
Legal business name
SOUTHWESTERN HEARING CARE, INC.
Practice address
500 Lewis Run Rd
Ste 117
Pittsburgh, PA 15122-3057
Phone
(412) 466-5550
Fax
(412) 466-8741
NPI assigned
Jun 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Authorized official

Name
Dr. Roger Michael Angelelli, PH.DNPI 1649241415
Title
President/Director of Audiology
Phone
(412) 466-5550

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X AT-000196-L PA Primary

Addresses

Primary practice location

500 Lewis Run Rd
Ste 117
Pittsburgh, PA 15122-3057

Mailing address

500 Lewis Run Rd
Ste 117
Pittsburgh, PA 15122-3057
Phone (412) 466-5550

Other identifiers 3

IdentifierTypeStateIssuer
90735OtherPAADVANTRA PIN
000981818OtherPAPIN FOR HIGHMARK B/S
0492912OtherPAAETNA USHEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050413000911 PA Part B Supplier - Clinic/Group Practice 7810934643 Receives reassigned benefits from 1 practitioner
Practice locations: Bethel Park, PA

National Provider Directory

National Provider Directory

Locations

2754 S Park Rd
Bethel Park, PA 15102
Phone (412) 831-0430

500 N Lewis Run Rd
Ste 117
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 466-5550

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1609870062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LEWIS RUN RD",
            "address_2": "STE 117",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "151223057",
            "telephone_number": "412-466-5550",
            "fax_number": "412-466-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LEWIS RUN RD",
            "address_2": "STE 117",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "151223057",
            "telephone_number": "412-466-5550",
            "fax_number": "412-466-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN HEARING CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "ANGELELLI",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR OF AUDIOLOGY",
        "authorized_official_telephone_number": "412-466-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "AT-000196-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA PIN",
            "identifier": "90735",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN FOR HIGHMARK B/S",
            "identifier": "000981818",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHEALTHCARE",
            "identifier": "0492912",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.