Active NPI
Aaron T Gale
- Audiologist
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 21000 E 12 Mile Rd
Suite 111
Saint Clair Shores, MI 48081-1116 - Phone
- (586) 779-7610
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary | ||
| Assistive Technology Practitioner Audiologist | 231HA2400X | |||
| Audiologist-Hearing Aid Fitter | 237600000X | 1601000185 | MI |
Addresses
Primary practice location
21000 E 12 Mile Rd
Suite 111
Saint Clair Shores, MI 48081-1116
Mailing address
21000 E 12 Mile Rd
Ste 111
St Clair Shores, MI 48081
Phone (586) 779-7610
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540E00292 | Other | MI | BLUE SHIELD |
| P25881F | Other | BLUE CARE NETWORK | |
| 64EO7684 | Other | BLUE SHIELD | |
| 0E01107 | Other | MI | BLUE SHIELD |
| 904135055 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21000 E 12 Mile Rd
Suite 111
Saint Clair Shores, MI 48081-1156
Phone (586) 779-7610
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1601000185 | MI | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Lakeshore Ear Nose and Throat Center PC | Past | Accepting new patients |
Locations
43750 Garfield Rd
Bldg B
Clinton Twp, MI 48038
Phone (248) 620-0044
4150 S River Rd
Ste E
East China, MI 48054
Phone (810) 326-2018
17770 Mack Ave
Grosse Pointe Shores, MI 48230
Phone (313) 882-1731
17900 23 Mile Rd
Ste 203
Macomb, MI 48044
Phone (586) 263-7400
21000 E 12 Mile Rd
Ste 111
St Clr Shores, MI 48081
Phone (586) 779-7610
Organizations & group practices 4
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.
-
dba St John North Shores Hospital
- Podiatrist
- Harrison Township, MI
- NPI 1043478910
-
dba Henry Ford St. John Hospital
- Otolaryngology Physician
- Saint Clair Shores, MI
- NPI 1376820605
-
dba St John Hospital and Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
-
- Otolaryngology Physician
- Saint Clair Shores, MI
- NPI 1033202023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1689762395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21000 E 12 MILE RD",
"address_2": "STE 111",
"city": "ST CLAIR SHORES",
"state": "MI",
"postal_code": "48081",
"telephone_number": "586-779-7610",
"fax_number": "586-445-2526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21000 E 12 MILE RD",
"address_2": "SUITE 111",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480811116",
"telephone_number": "586-779-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALE",
"first_name": "AARON",
"middle_name": "T",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MI",
"license": "1601000185",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "540E00292",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "P25881F",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "64EO7684",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0E01107",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "904135055",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.