Individual provider Active NPI

Mark O Stuemke, HEARING INSTRUMENT S

  • Hearing Instrument Specialist
  • Salisbury, NC
National Provider Identifier
1760549463
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1270 Issued in NC
Practice address
644 Statesville Blvd
Unit #3
Salisbury, NC 28144-2280
Phone
(704) 633-6775
Fax
(704) 633-6799
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 1270 NC Primary
Hearing Instrument Specialist 237700000X 386N02 NC

Addresses

Primary practice location

644 Statesville Blvd
Unit #3
Salisbury, NC 28144-2280

Mailing address

644 Statesville Blvd
Unit #3
Salisbury, NC 28144-2280
Phone (704) 633-6775

Other identifiers 1

IdentifierTypeStateIssuer
1270OtherNCNC STATE HEARING AID DEALERS & FITTERS BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1270NCMDMarriage & Family Therapist
386N02NCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Radiology Associates, PA Current Accepting new patients

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1760549463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 STATESVILLE BLVD",
            "address_2": "UNIT #3",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442280",
            "telephone_number": "704-633-6775",
            "fax_number": "704-633-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 STATESVILLE BLVD",
            "address_2": "UNIT #3",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442280",
            "telephone_number": "704-633-6775",
            "fax_number": "704-633-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUEMKE",
        "first_name": "MARK",
        "middle_name": "O",
        "credential": "HEARING INSTRUMENT S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NC",
            "license": "1270",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NC",
            "license": "386N02",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE HEARING AID DEALERS & FITTERS BOARD",
            "identifier": "1270",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.