Individual provider Active NPI

Matthew T McCaskey, HIS

  • Hearing Instrument Specialist
  • Saint Louis, MO
National Provider Identifier
1659965176
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2018018228 Issued in 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
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

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

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

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2018018228MOMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Hearing Inc Hearing Instrument Specialist CurrentSince Mar 4, 2021 Accepting new patients
Brad McMillin, Inc PastSince Mar 4, 2021 Accepting new patients

Locations

615 N Main St
O Fallon, IL 62269

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, 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": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1659965176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N MAIN ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622693704",
            "telephone_number": "618-624-4471",
            "fax_number": "618-215-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 LEMAY FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631253131",
            "telephone_number": "314-416-1415",
            "fax_number": "314-416-1415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12490 Tesson Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282702",
            "country_code": "US",
            "telephone_number": "314-849-6700",
            "fax_number": "314-849-6706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCASKEY",
        "first_name": "MATTHEW",
        "middle_name": "T",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2018018228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.