Shane Irwin, HEARING AID DEALER

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

10904 Issued in OH

Practice address

107 N 3Rd St
Ironton, OH 45638-1471

Phone

(740) 533-0077

Fax

(513) 433-0126

NPI assigned

Oct 29, 2014

Last updated

Oct 30, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1720483076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381471",
            "telephone_number": "740-533-0077",
            "fax_number": "513-433-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381471",
            "telephone_number": "740-533-0077",
            "fax_number": "513-433-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "SHANE",
        "credential": "HEARING AID DEALER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "10904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ironton Opco, Inc. (Harbor Healthcare of Ironton)
• Ironton Park Avenue Chiropractic Center, Inc.
• Ironton Physical Medicine and Rehab LLC
• Ironton Physical Therapy Inc (Tri State Rehab Services)
• Ironton Vision Center, Inc.
• Joseph A Isaac, PT, CSCS
• Owen Ison
• Charlee Kay Ivey
• Kyle Jadwin, CDCA
• James B. Schweickart

• Audiologist-Hearing Aid Fitter in Ironton, OH
• Providers in Ironton, OH by specialty
• Audiologist-Hearing Aid Fitter in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.