Active NPI
Douglas J Spear, MA CCC A
- Audiologist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 100064
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0496 | KY | MD | Marriage & Family Therapist |
| 101441 | KY | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Hearing Center LLC | Audiologist | Current | Accepting new patients |
| Associates Hearing, Inc | Audiologist | Current | Accepting new patients |
| Bluegrass Ear Nose & Throat Clinic | Audiologist | Current | Accepting new patients |
| Edith & Henry Heuser Hearing Institute | Audiologist | Current | Accepting new patients |
| Familyhealthcare, PLLC | Past | Accepting new patients | |
| Heuser Hearing & Language Academy | Past | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Audiologist
- Louisville, KY
- NPI 1881668663
-
- Audiologist
- Pikeville, KY
- NPI 1396926911
-
- Otolaryngology Physician
- Winchester, KY
- NPI 1225048416
Audiologist
-
- Audiologist
- Pikeville, KY
- NPI 1952663767
-
- Substance Abuse Rehabilitation Facility
- London, KY
- NPI 1316386063
-
dba Appalachian Regional Head & Neck Center
- Otolaryngology/Facial Plastic Surgery Physician
- Hazard, KY
- NPI 1063552529
-
- Speech-Language Pathologist
- Louisville, KY
- NPI 1861565418
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.