Individual provider Active NPI

Ryan T Hamilton, AU.D.

  • Audiologist
  • Grayling, MI
National Provider Identifier
1629008990
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000205 Issued in MI
Practice address
306 State St
Grayling, MI 49738-1861
Phone
(989) 745-6667
Fax
(989) 745-6668
NPI assigned
Jul 3, 2006
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000205 MI Primary
Audiologist-Hearing Aid Fitter 237600000X 1601000205 MI

Addresses

Primary practice location

306 State St
Grayling, MI 49738-1861

Mailing address

306 State St
Grayling, MI 49738-1861
Phone (989) 745-6667

Other practice location 1

604 W Main St
Ste F
Gaylord, MI 49735-1869
Phone (989) 448-2500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061025000679 MI Practitioner - Qualified Audiologist 8224035720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

306 State St
Grayling, MI 49738-1861
Phone (989) 745-6667

321 E Main St
Gaylord, MI 49735-1339
Phone (989) 448-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1601000205MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audigycare, LLC Audiologist-Hearing Aid Fitter CurrentSince Jun 1, 2020 Accepting new patients
Audicare Hearing Centers Inc. Audiologist-Hearing Aid Fitter CurrentSince Jun 1, 2020 Accepting new patients

Locations

604 W Main St
Ste F
Gaylord, MI 49735
Phone (989) 448-2500

872 Munson Ave
Ste D
Traverse City, MI 49686
Phone (231) 922-0400

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1629008990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 STATE ST",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497381861",
            "telephone_number": "989-745-6667",
            "fax_number": "989-745-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 STATE ST",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497381861",
            "telephone_number": "989-745-6667",
            "fax_number": "989-745-6668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 W Main St",
            "address_2": "Ste F",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351869",
            "country_code": "US",
            "telephone_number": "989-448-2500",
            "fax_number": "989-448-7006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "RYAN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000205",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayling, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.