NPIMap

Organization Active NPI

Medford/Grants Pass Hearing Centers, LLC

  • Hearing Instrument Specialist
  • Medford, OR
National Provider Identifier
1780983775
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HAP-P-10124822 Issued in OR
Legal business name
MEDFORD/GRANTS PASS HEARING CENTERS, LLC
Practice address
712 E Jackson St
Medford, OR 97504-6712
Phone
(541) 773-7409
Fax
(541) 779-0612
NPI assigned
Mar 16, 2011
Last updated
Mar 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Mr. Tony W. Noon, H.I.S.NPI 1689989410
Title
Owner
Phone
(541) 773-7409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X HAP-P-10124822 OR Primary

Addresses

Primary practice location

712 E Jackson St
Medford, OR 97504-6712

Mailing address

712 E Jackson St
Medford, OR 97504-6712
Phone (541) 773-7409

Other identifiers 1

IdentifierTypeStateIssuer
500626860MedicaidOR

National Provider Directory

National Provider Directory

Locations

712 E Jackson St
Medford, OR 97504
Phone (541) 773-7409

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1780983775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 E JACKSON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046712",
            "telephone_number": "541-773-7409",
            "fax_number": "541-779-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 E JACKSON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046712",
            "telephone_number": "541-773-7409",
            "fax_number": "541-779-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD/GRANTS PASS HEARING CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "NOON",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-773-7409",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "H.I.S."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "HAP-P-10124822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500626860",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.