Organization Active NPI

Mid Missouri Audiology

  • Audiologist
  • Sedalia, MO
National Provider Identifier
1790933786
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
MID MISSOURI AUDIOLOGY
Practice address
1706 W Ninth Street
Sedalia, MO 65301-5239
Phone
(660) 826-0180
Fax
(660) 826-7812
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Debra Lee Goffinet, M.A., CCC-A
Title
Audiologist
Phone
(660) 826-0180

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X Primary
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X

Addresses

Primary practice location

1706 W Ninth Street
Sedalia, MO 65301-5239

Mailing address

1706 W Ninth Street
Mid Missouri Hearing Center
Sedalia, MO 65301-5239
Phone (660) 826-0180

Other identifiers 1

IdentifierTypeStateIssuer
30329011OtherMOBLUE CROSS BLUE SHIELD OF KC

Other names 1

  • Mid Missouri Hearing Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1790933786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 W NINTH STREET",
            "address_2": "MID MISSOURI HEARING CENTER",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015239",
            "telephone_number": "660-826-0180",
            "fax_number": "660-826-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 W NINTH STREET",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015239",
            "telephone_number": "660-826-0180",
            "fax_number": "660-826-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID MISSOURI AUDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "GOFFINET",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "660-826-0180",
        "authorized_official_credential": "M.A., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF KC",
            "identifier": "30329011",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Missouri Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sedalia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.