Organization Active NPI

Upper Valley Hearing & Balance Inc

  • Audiologist-Hearing Aid Fitter
  • Troy, OH
National Provider Identifier
1740489277
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
A00421 Issued in OH
Legal business name
UPPER VALLEY HEARING & BALANCE INC
Practice address
3130 N Dixie Hwy
Audiology Suite #1430
Troy, OH 45373-1337
Phone
(937) 308-7000
Fax
(937) 440-4396
NPI assigned
Jul 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Dr. Jane Hunter Rudy, AUD
Title
President/Owner
Phone
(937) 308-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X A00421 OH Primary

Addresses

Primary practice location

3130 N Dixie Hwy
Audiology Suite #1430
Troy, OH 45373-1337

Mailing address

3130 N Dixie Hwy
Audiology Suite #1430
Troy, OH 45373-1337
Phone (937) 308-7000

Other identifiers 1

IdentifierTypeStateIssuer
0754296MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071010000132 OH Part B Supplier - Clinic/Group Practice 1254427099 Receives reassigned benefits from 4 practitioners
Practice locations: Troy, OH

National Provider Directory

National Provider Directory

Locations

210 S Market St
Ste A
Troy, OH 45373
Phone (937) 308-7000

3130 N County Road 25A
#1430
Troy, OH 45373
Phone (937) 308-7000

3130 N Dixie Hwy
Ste 1430
Troy, OH 45373
Phone (937) 308-7000

31 S Stanfield Rd
Ste 306
Troy, OH 45373
Phone (937) 308-7000

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": "1184371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1740489277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 N DIXIE HWY",
            "address_2": "AUDIOLOGY SUITE #1430",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-308-7000",
            "fax_number": "937-440-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N DIXIE HWY",
            "address_2": "AUDIOLOGY SUITE #1430",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-308-7000",
            "fax_number": "937-440-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY HEARING & BALANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-14",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "RUDY",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "937-308-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "A00421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0754296",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.