Organization Active NPI

Keystone Hearing Institute

  • Audiologist
  • Harrisburg, PA
National Provider Identifier
1730210246
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT001146L Issued in PA
Legal business name
KEYSTONE HEARING INSTITUTE
Practice address
2151 Linglestown Rd
Suite 130
Harrisburg, PA 17110-9499
Phone
(717) 540-0812
Fax
(717) 540-0810
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Mr. Anthony Wayne Fowler, AU.D FAAANPI 1841365061
Title
Owner
Phone
(717) 540-0812

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X AT001146L PA Primary

Addresses

Primary practice location

2151 Linglestown Rd
Suite 130
Harrisburg, PA 17110-9499

Mailing address

250 Fame Ave
Suite 222
Hanover, PA 17331-1587
Phone (717) 646-9300

Other identifiers 1

IdentifierTypeStateIssuer
0018229820002MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Keystone Hearing Institute3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2151 Linglestown Rd
Ste 130
Harrisburg, PA 17110
Phone (717) 540-0812

Practitioners & affiliated clinicians

Practitioners 1

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1730210246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUITE 222",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-646-9300",
            "fax_number": "717-646-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 LINGLESTOWN RD",
            "address_2": "SUITE 130",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109499",
            "telephone_number": "717-540-0812",
            "fax_number": "717-540-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE HEARING INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-540-0812",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AU.D FAAA"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT001146L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018229820002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.