Greenville Hearing Center, Inc.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147-00177 Issued in IL

Legal business name

GREENVILLE HEARING CENTER, INC.

Practice address

310 S 3Rd St
Greenville, IL 62246-1733

Phone

(618) 664-1146

Fax

(618) 664-4576

NPI assigned

Nov 22, 2006

Last updated

May 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sheila L. Kutz, AUD., CCC-ANPI 1396810792

Title

Audiologist

Phone

(618) 664-1146

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheila Kutz, AUD., CCC-A

  • Audiologist
  • Greenville, IL
  • NPI 1396810792
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1679648885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S 3RD ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461733",
            "telephone_number": "618-664-1146",
            "fax_number": "618-664-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S 3RD ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461733",
            "telephone_number": "618-664-1146",
            "fax_number": "618-664-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE HEARING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "KUTZ",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "618-664-1146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-00177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD INS.",
            "identifier": "0000332001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK INSURANCE",
            "identifier": "478224",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355522908001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4500135",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia K. Gray, FNP-C
• Greenville Eyeglass & Contacts Inc
• Greenville Family Medicine, LLC
• Greenville Family Medicine, LLC
• Greenville Gastroenterology, S.C.
• Greenville Nursing & Rehabilitation Center, LLC
• Greenville Rehab & Pain Clinic SC
• Greenville Skilled LLC
• Janet Kaye Grigg
• Crystal Elaine Grove

• Audiologist in Greenville, IL
• Providers in Greenville, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.