Active NPI
Koch Hearing LLC
- Audiologist
- Charlottesville, VA
National Provider Identifier
1720629264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.evolutionhearing.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Audiologist
- Charlottesville, VA
- NPI 1275682304
-
- Audiologist
- Richmond, VA
- NPI 1184172256
-
- Audiologist
- Smithfield, NC
- NPI 1144637836
-
- Audiologist
- Wake Forest, NC
- NPI 1437848249
-
- Audiologist
- Raleigh, NC
- NPI 1194067686
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.