Organization Active NPI

Professional Hearing Care Inc

  • Audiologist
  • Marion, IN
National Provider Identifier
1710969928
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
PROFESSIONAL HEARING CARE INC
Practice address
915 N Western Ave
Marion, IN 46952-2505
Phone
(765) 664-3470
Fax
(765) 664-3489
NPI assigned
Nov 15, 2005
Last updated
Apr 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Mrs. Valentina Bachnivsky, MATNPI 1114045713
Title
President
Phone
(765) 664-3470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary
Audiologist-Hearing Aid Fitter 237600000X NU

Addresses

Primary practice location

915 N Western Ave
Marion, IN 46952-2505

Mailing address

PO Box 106
Marion, IN 46952-0106
Phone (765) 664-3470

Other identifiers 3

IdentifierTypeStateIssuer
000000209060OtherBLUE CROSS - HEARING AIDS
000000188598OtherBLUE CROSS - AUDIOLOGY
100417580AMedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1710969928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 106",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469520106",
            "telephone_number": "765-664-3470",
            "fax_number": "765-664-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N WESTERN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522505",
            "telephone_number": "765-664-3470",
            "fax_number": "765-664-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEARING CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "BACHNIVSKY",
        "authorized_official_first_name": "VALENTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-664-3470",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MAT"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - HEARING AIDS",
            "identifier": "000000209060",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - AUDIOLOGY",
            "identifier": "000000188598",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100417580A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.