Matthew T McCaskey, HIS

Individual provider Active NPI Hearing Instrument Specialist · Saint Louis, MO

NPI 1659965176 · NPPES record last updated Feb 24, 2021

Key facts

NPI
1659965176
Entity type
Individual (NPI type 1)
Primary specialty
Hearing Instrument Specialist 237700000X
License
2018018228 (MO)
Practice address
2548 Lemay Ferry Rd
Saint Louis, MO 63125-3131
Phone
(314) 416-1415
Fax
(314) 416-1415
NPI assigned
Feb 24, 2021
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2018018228MOMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Hearing Inc Hearing Instrument Specialist Current
since Mar 4, 2021
Accepting new patients
Brad McMillin, Inc Past
since Mar 4, 2021
Accepting new patients

Locations

615 N Main St
O Fallon, IL 62269

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2018018228 MO Yes

Addresses

Primary practice location

2548 Lemay Ferry Rd
Saint Louis, MO 63125-3131

Mailing address

615 N Main St
O Fallon, IL 62269-3704
Phone (618) 624-4471

Other practice location 1

12490 Tesson Ferry Rd
Saint Louis, MO 63128-2702
Phone (314) 849-6700

Other providers in Saint Louis, MO

All providers in Saint Louis, MO · Hearing Instrument Specialist in Missouri

Sources for this page

Verify at the official NPI Registry.