Active NPI
Moomaw Hearing Center Inc
- Audiologist
- Wenatchee, WA
National Provider Identifier
1700935707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD00001173
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8076010 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Hearing Instrument Specialist
- Omak, WA
- NPI 1194152421
-
- Hearing Instrument Specialist
- Omak, WA
- NPI 1649647801
-
- Audiologist-Hearing Aid Fitter
- Omak, WA
- NPI 1376662791
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.