Individual provider Active NPI

Efthemia Tammy Backeris, H.I.S.

  • Hearing Instrument Specialist
  • Monroeville, PA
National Provider Identifier
1700937927
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
F03293 Issued in PA
Practice address
2566 Haymaker Rd
Suite 214
Monroeville, PA 15146-3517
Phone
(724) 387-3073
Fax
(412) 291-3109
NPI assigned
Jan 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X F03293 PA Primary

Addresses

Primary practice location

2566 Haymaker Rd
Suite 214
Monroeville, PA 15146-3517

Mailing address

111 Foxwood Dr
Wexford, PA 15090-7100
Phone (724) 387-3073

Other names 1

  • Efthemia Tammy Bouzos Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F03293PAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Unlimited Inc Hearing Instrument Specialist Past Accepting new patients

Organizations & group practices 1

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700937927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FOXWOOD DR",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907100",
            "telephone_number": "724-387-3073",
            "fax_number": "412-291-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 HAYMAKER RD",
            "address_2": "SUITE 214",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463517",
            "telephone_number": "724-387-3073",
            "fax_number": "412-291-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKERIS",
        "first_name": "EFTHEMIA",
        "middle_name": "TAMMY",
        "credential": "H.I.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "PA",
            "license": "F03293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EFTHEMIA",
            "last_name": "BOUZOS",
            "middle_name": "TAMMY",
            "credential": "H.I.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.