Active NPI
Samuel Yareck III, BC-HIS
- Hearing Instrument Specialist
- Charleroi, PA
National Provider Identifier
1710043401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- F02201
- Practice address
- 2 McKean Ave
Charleroi, PA 15022-1407 - Phone
- (724) 489-9565
- Fax
- (724) 489-9566
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | F02201 | PA | Primary |
Addresses
Primary practice location
2 McKean Ave
Charleroi, PA 15022-1407
Mailing address
1081 Saddleclub Dr
Canonsburg, PA 15317-2759
Phone (724) 942-3169
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
| License | State | Type | Specialty |
|---|---|---|---|
| F02201 | PA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710043401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1081 SADDLECLUB DR",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153172759",
"telephone_number": "724-942-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MCKEAN AVE",
"city": "CHARLEROI",
"state": "PA",
"postal_code": "150221407",
"telephone_number": "724-489-9565",
"fax_number": "724-489-9566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARECK",
"first_name": "SAMUEL",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "BC-HIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "PA",
"license": "F02201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleroi, 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.