Individual provider Active NPI

Jared Martin Drummond, AU.D.

  • Audiologist
  • Oshkosh, WI
National Provider Identifier
1740645605
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
614-156 Issued in WI
Practice address
2390 State Road 44 Ste D
Oshkosh, WI 54904-6438
Phone
(920) 232-4752
Fax
(920) 385-4979
NPI assigned
Dec 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 614-156 WI Primary

Addresses

Primary practice location

2390 State Road 44 Ste D
Oshkosh, WI 54904-6438

Mailing address

2390 State Road 44 Ste D
Oshkosh, WI 54904-6438
Phone (920) 232-4752

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170414000206 WI Practitioner - Qualified Audiologist 2163708769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2390 State Rd
44 Suite D
Oshkosh, WI 54904-6438
Phone (920) 232-4752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
614-156WIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Audiology & Hearing Service, LLC Audiologist CurrentSince Dec 1, 2016 Accepting new patients

Locations

1107 E Johnson St
Fond du Lac, WI 54935
Phone (920) 926-3328

2390 State Road 44
Ste D
Oshkosh, WI 54904
Phone (920) 232-4752

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740645605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 STATE ROAD 44 STE D",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549046438",
            "telephone_number": "920-232-4752",
            "fax_number": "920-385-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 STATE ROAD 44 STE D",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549046438",
            "telephone_number": "920-232-4752",
            "fax_number": "920-385-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMMOND",
        "first_name": "JARED",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "614-156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.