Individual provider Active NPI

Douglas J Spear, MA CCC A

  • Audiologist
  • Louisville, KY
National Provider Identifier
1649257817
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
100064 Issued in KY
Practice address
117 E Kentucky St
Louisville, KY 40203-2793
Phone
(502) 584-3573
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0154 KY
Hearing Instrument Specialist 237700000X 0496 KY
Hearing Instrument Specialist 237700000X 101441 KY
Audiologist 231H00000X 100064 KY Primary

Addresses

Primary practice location

117 E Kentucky St
Louisville, KY 40203-2793

Mailing address

320 Lindenhurst Dr Apt 12202
Lexington, KY 40509-1379
Phone (859) 608-3757

Other practice location 1

268 Southland Dr
Suite 100
Lexington, KY 40503-1938
Phone (859) 278-1109

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091029000351 KY Practitioner - Qualified Audiologist 1658423082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edith and Henry Heuser Hearing InstituteGroup PAC ID 2062451610, 10 clinicians

Practice addresses (Care Compare)

117 E Kentucky St
Louisville, KY 40203-2793
Phone (502) 584-3573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0496KYMDMarriage & Family Therapist
101441KYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Hearing Center LLC Audiologist CurrentSince Jul 2, 2012 Accepting new patients
Associates Hearing, Inc Audiologist Current Accepting new patients
Bluegrass Ear Nose & Throat Clinic Audiologist CurrentSince May 3, 2021 Accepting new patients
Edith & Henry Heuser Hearing Institute Audiologist CurrentSince Oct 20, 2023 Accepting new patients
Familyhealthcare, PLLC Past Accepting new patients
Heuser Hearing & Language Academy PastSince Oct 20, 2023 Accepting new patients
Frank Daniel Mongiardo M.D. P.S.C Past Accepting new patients

Locations

136 Rockcastle Rd
Inez, KY 41224
Phone (502) 584-3573

111 E Kentucky St
Louisville, KY 40203
Phone (502) 371-9910

117 E Kentucky St
Louisville, KY 40203
Phone (502) 584-3573

3900 S DuPont Sq
Ste D
Louisville, KY 40207
Phone (502) 371-9910

417 Benjamin Ln
Ste 202
Louisville, KY 40222
Phone (502) 371-9910

2932 Breckenridge Ln
Ste 1
Louisville, KY 40220
Phone (502) 479-1616

785 N Mayo Trl
Pikeville, KY 41501
Phone (606) 218-6000

5425 N Mayo Trl
Ste 201
Pikeville, KY 41501
Phone (606) 432-0191

225 Hospital Dr
Ste 265
Winchester, KY 40391
Phone (859) 737-8482

225 Hospital Dr
Winchester, KY 40391
Phone (859) 737-8528

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: douglas.spearma.p1@direct.lhead.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1649257817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LINDENHURST DR APT 12202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091379",
            "telephone_number": "859-608-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E KENTUCKY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032793",
            "telephone_number": "502-584-3573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "268 Southland Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031938",
            "country_code": "US",
            "telephone_number": "859-278-1109",
            "fax_number": "859-406-1130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEAR",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MA  CCC A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "0154",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KY",
            "license": "0496",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KY",
            "license": "101441",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "100064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.