Yeagertown Hearing Center, P.C.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AT-OOO772-L Issued in PA

Legal business name

YEAGERTOWN HEARING CENTER, P.C.

Practice address

13161 Ferguson Valley Rd
Yeagertown, PA 17099-0414

Phone

(717) 248-7248

Fax

(717) 248-7323

NPI assigned

Aug 17, 2007

Last updated

Aug 17, 2007By 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. Kathryn K O, AU.D.NPI 1750345195

Title

Doctor of Audiology

Phone

(717) 248-7248

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Centre Hall Audiology Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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.

• Kathryn K O, AU D

  • Audiologist
  • Yeagertown, PA
  • NPI 1750345195
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1790977338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13161 FERGUSON VALLEY RD",
            "city": "YEAGERTOWN",
            "state": "PA",
            "postal_code": "170990414",
            "telephone_number": "717-248-7248",
            "fax_number": "717-248-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13161 FERGUSON VALLEY RD",
            "city": "YEAGERTOWN",
            "state": "PA",
            "postal_code": "170990414",
            "telephone_number": "717-248-7248",
            "fax_number": "717-248-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEAGERTOWN HEARING CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "O",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY",
        "authorized_official_telephone_number": "717-248-7248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT-OOO772-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PIN",
            "identifier": "31571",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centre Hall Audiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eric David Treaster, LPC
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• Chaye Williams
• Elizabeth Eva Woods, LPN
• Cherie Zimmerman, RDH, PHDHP

• Audiologist in Yeagertown, PA
• Providers in Yeagertown, PA by specialty
• Audiologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.