Individual provider Active NPI

Stephen M Reddick

  • Audiologist-Hearing Aid Fitter
  • Mt Pleasant, MI
National Provider Identifier
1760492649
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
1601000189 Issued in MI
Practice address
7200 S Mission Rd
Mt Pleasant, MI 48858-9141
Phone
(989) 828-6778
NPI assigned
Aug 9, 2006
Last updated
Aug 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 1601000189 MI Primary

Addresses

Primary practice location

7200 S Mission Rd
Mt Pleasant, MI 48858-9141

Mailing address

7200 S Mission Rd
Mt Pleasant, MI 48858-9141
Phone (989) 828-6778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071004000717 MI Practitioner - Qualified Audiologist 7810082831 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1601000189MIMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Accuquest Hearing Center, LLC Audiologist-Hearing Aid Fitter CurrentSince Jan 1, 2021 Accepting new patients
Hearusa Inc Audiologist-Hearing Aid Fitter Past Accepting new patients

Locations

212 W Wackerly St
Ste 100
Midland, MI 48640
Phone (989) 835-8760

4884 E Pickard St
Ste C
Mt Pleasant, MI 48858
Phone (989) 953-7021

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1760492649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 S MISSION RD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488589141",
            "telephone_number": "989-828-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 S MISSION RD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488589141",
            "telephone_number": "989-828-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDICK",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.