Organization Active NPI

Moomaw Hearing Center Inc

  • Audiologist
  • Wenatchee, WA
National Provider Identifier
1700935707
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD00001173 Issued in WA
Legal business name
MOOMAW HEARING CENTER INC
Practice address
1556 N Wenatchee Ave
Suite D
Wenatchee, WA 98801
Phone
(509) 665-3100
Fax
(509) 665-9980
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Douglas Edward Moomaw, AUD
Title
Owner President
Phone
(509) 665-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X LD00001173 WA Primary

Addresses

Primary practice location

1556 N Wenatchee Ave
Suite D
Wenatchee, WA 98801

Mailing address

1556 N Wenatchee Ave
Suite D
Wenatchee, WA 98801
Phone (509) 665-3100

Other identifiers 1

IdentifierTypeStateIssuer
8076010MedicaidWA

National Provider Directory

National Provider Directory

Locations

1556 N Wenatchee Ave
Ste D
Wenatchee, WA 98801
Phone (509) 665-3100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700935707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 N WENATCHEE AVE",
            "address_2": "SUITE D",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "98801",
            "telephone_number": "509-665-3100",
            "fax_number": "509-665-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 N WENATCHEE AVE",
            "address_2": "SUITE D",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "98801",
            "telephone_number": "509-665-3100",
            "fax_number": "509-665-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOMAW HEARING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOOMAW",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "509-665-3100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00001173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8076010",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.