NPIMap

Individual provider Active NPI

Roger Hughes, M.A. IN AUDIOLOGY

  • Audiologist
  • Lansing, MI
National Provider Identifier
1700934544
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000104 Issued in MI
Practice address
3410 Belle Chase Way
Suite 700
Lansing, MI 48911-4274
Phone
(517) 887-7660
Fax
(517) 887-7661
NPI assigned
Jan 8, 2007
Last updated
Jan 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000104 MI Primary

Addresses

Primary practice location

3410 Belle Chase Way
Suite 700
Lansing, MI 48911-4274

Mailing address

3410 Belle Chase Way
Suite 700
Lansing, MI 48911-4274
Phone (517) 887-7660

Other identifiers 4

IdentifierTypeStateIssuer
200000000506OtherMIPHPMM
4684351MedicaidMI
640C312830OtherMIBCBSM
4683710MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Maryrose Hecksel, Aud, LLC Past Accepting new patients
Edward D Berg DO PC Past Accepting new patients
Dynamic Audiology Inc Audiologist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1700934544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 BELLE CHASE WAY",
            "address_2": "SUITE 700",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114274",
            "telephone_number": "517-887-7660",
            "fax_number": "517-887-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 BELLE CHASE WAY",
            "address_2": "SUITE 700",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114274",
            "telephone_number": "517-887-7660",
            "fax_number": "517-887-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "ROGER",
        "name_prefix": "Mr.",
        "credential": "M.A. IN AUDIOLOGY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHPMM",
            "identifier": "200000000506",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4684351",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "640C312830",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4683710",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.