Mark R McShane, AU.D

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Practice address

1111 W Centre Ave
Portage, MI 49024-5317

Phone

(269) 324-0301

Fax

(269) 324-2387

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Hac Hearing Aid Centers of America Inc

  • Audiologist-Hearing Aid Fitter
  • Portage, MI
  • NPI 1821172685
  NPD (past)
• Teletherapy Group, LLC

  • Clinical Social Worker
  • Portage, MI
  • NPI 1831628379
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1689700338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SHUMAN BLVD",
            "address_2": "SUITE 401",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638458",
            "telephone_number": "630-303-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245317",
            "telephone_number": "269-324-0301",
            "fax_number": "269-324-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSHANE",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "AU.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AUDIOLOGY",
            "identifier": "64OC91290",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804836453",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan McKenzie, PA-C
• Lindie McKenzie
• Kelly Denise McLean, MT, RMT
• Amy McNamara, LMSW
• Francesca Rose McQueen, DO
• Kiana Means
• Med Jets Now LLC
• Medeqs LLC
• Medexpress Urgent Care, PC - Michigan
• Ravinder Mediratta, M.D.

• All providers in Portage, MI
• Audiologist-Hearing Aid Fitter in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.