Hageman Audiology & Hearing AIDS LLC

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

License

1601000046 Issued in MI

Legal business name

HAGEMAN AUDIOLOGY & HEARING AIDS LLC

Practice address

2505 East Paris Ave SE
Suite 170
Grand Rapids, MI 49546-2422

Phone

(616) 285-3733

Fax

(616) 288-3745

NPI assigned

May 12, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Ronald G Hageman, AUD

Title

President

Phone

(616) 285-3733

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1700053568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 EAST PARIS AVE SE",
            "address_2": "SUITE 170",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462422",
            "telephone_number": "616-285-3733",
            "fax_number": "616-288-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 EAST PARIS AVE SE",
            "address_2": "SUITE 170",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462422",
            "telephone_number": "616-285-3733",
            "fax_number": "616-288-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGEMAN AUDIOLOGY & HEARING AIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "HAGEMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-285-3733",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "MI",
            "license": "1601000046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4847180",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TYPE 90",
            "identifier": "4956943",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "640D115780",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kay Hage, LMSW
• Phillip Richard Hage, D.O.
• Jeffrey E Hagedorn, PA-C
• Kai Hagedorn
• Richard Spencer Hagelberg, M.D.
• Ronald G Hageman, AUD CCCA
• Alaina G Hager
• Amy Kay Hager
• Meaghan Leigh Hagerman, PA
• Preston James Hagerman

• Hearing Aid Equipment in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Hearing Aid Equipment in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.