Organization Active NPI

Koch Hearing LLC

  • Audiologist
  • Charlottesville, VA
National Provider Identifier
1720629264
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
KOCH HEARING LLC
Practice address
2297 Seminole LN
Charlottesville, VA 22901-8300
Phone
(919) 995-3823
Fax
(434) 299-8892
NPI assigned
Oct 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Mr. Anthony R Thacher
Title
Business Director
Phone
(919) 995-3823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

2297 Seminole LN
Charlottesville, VA 22901-8300

Mailing address

25 Kensington Dr
Youngsville, NC 27596-7624
Phone (919) 995-3823

Other practice location 1

4801 Radford Ave Ste A
Richmond, VA 23230-3541
Phone (804) 215-0001

Other names 1

  • Evolution Hearing Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.evolutionhearing.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200210000911 VA Part B Supplier - Clinic/Group Practice 9234565326 Receives reassigned benefits from 3 practitioners
Practice locations: Charlottesville, VA

National Provider Directory

National Provider Directory

Locations

7718 Six Forks Rd
Ste 102
Raleigh, NC 27615
Phone (919) 670-3777

7718 Six Forks Rd
Ste 101
Raleigh, NC 27615

2297 Seminole Ln
Charlottesvle, VA 22901
Phone (434) 227-4100

4801 Radford Ave
Richmond, VA 23230

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1720629264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KENSINGTON DR",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275967624",
            "telephone_number": "919-995-3823",
            "fax_number": "434-299-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2297 SEMINOLE LN",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018300",
            "telephone_number": "919-995-3823",
            "fax_number": "434-299-8892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Radford Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232303541",
            "country_code": "US",
            "telephone_number": "804-215-0001",
            "fax_number": "434-299-8892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KOCH HEARING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "THACHER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS  DIRECTOR",
        "authorized_official_telephone_number": "919-995-3823",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.evolutionhearing.com",
            "affiliation": "N",
            "endpointDescription": "fax number/message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "fax",
            "address_1": "2297 Seminole Ln",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229018300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Evolution Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.