Hearing Doctors of North America LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

939 Issued in KS

Legal business name

HEARING DOCTORS OF NORTH AMERICA LLC

Practice address

1213 Hylton Heights Rd
Ste 105
Manhattan, KS 66502-2810

Phone

(785) 537-4005

Fax

(785) 537-0196

NPI assigned

Sep 3, 2008

Last updated

Sep 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles L Gillum Jr., AU.D.NPI 1407933583

Title

Owner

Phone

(785) 537-4005

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles L Gillum, AUD.

  • Audiologist
  • Manhattan, KS
  • NPI 1407933583
  NPD (past) Authorized official

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1780832733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HYLTON HEIGHTS RD",
            "address_2": "STE 105",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022810",
            "telephone_number": "785-537-4005",
            "fax_number": "785-537-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HYLTON HEIGHTS RD",
            "address_2": "STE 105",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022810",
            "telephone_number": "785-537-4005",
            "fax_number": "785-537-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING DOCTORS OF NORTH AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "GILLUM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-537-4005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100227700B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Heartland Pain Management , LLC
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• Roderick M. Heasty, D.C.
• Heather White Brighton Inc.

• Audiologist in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Audiologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.