Organization Active NPI

Beaufort Audiology and Hearing Care

  • Hearing and Speech Clinic/Center
  • Beaufort, SC
National Provider Identifier
1679725303
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
3407 Issued in SC
Legal business name
BEAUFORT AUDIOLOGY AND HEARING CARE
Practice address
38 Professional Village Cir
Beaufort, SC 29907-1570
Phone
(843) 521-3007
Fax
(888) 521-3007
NPI assigned
Oct 13, 2008
Last updated
Jul 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Mrs. Monica F Wiser, M.A. CCC-ANPI 1841442571
Title
Member
Phone
(843) 521-3007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 3407 SC Primary

Addresses

Primary practice location

38 Professional Village Cir
Beaufort, SC 29907-1570

Mailing address

PO Box 1102
Beaufort, SC 29901-1102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090304000722 SC Part B Supplier - Clinic/Group Practice 8123184835 Receives reassigned benefits from 1 practitioner
Practice locations: Beaufort, SC

National Provider Directory

National Provider Directory

Locations

38 Professional Village Cir
Beaufort, SC 29907
Phone (843) 521-3007

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1679725303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1102",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299011102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 PROFESSIONAL VILLAGE CIR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071570",
            "telephone_number": "843-521-3007",
            "fax_number": "888-521-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT AUDIOLOGY AND HEARING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "WISER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "843-521-3007",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. CCC-A"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "SC",
            "license": "3407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.