Keystone Hearing Institute

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AT001146L Issued in PA

Legal business name

KEYSTONE HEARING INSTITUTE

Practice address

250 Fame Avenue
Suite 222
Hanover PA, PA 17331-1587

Phone

(717) 646-9300

Fax

(717) 646-9322

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Wayne Fowler, AU.D.NPI 1841365061

Title

Owner

Phone

(717) 646-9300

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Keystone Hearing Institute3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Keystone Hearing Institute

  • Audiologist
  • Harrisburg, PA
  • NPI 1730210246
  NPD tax ID
• Keystone Hearing Institute

  • Audiologist
  • Hanover, PA
  • NPI 1922138445
  NPD tax ID

Practitioners 1

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

• Anthony Wayne Fowler, AU.D

  • Audiologist
  • Hanover, PA
  • NPI 1841365061
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1649301151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUITE 222",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-646-9300",
            "fax_number": "717-646-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FAME AVENUE",
            "address_2": "SUITE 222",
            "city": "HANOVER PA",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-646-9300",
            "fax_number": "717-646-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE HEARING INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-646-9300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT001146L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018229820002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.