Active NPI
James McGonigal Jr., BC-HIS
- Hearing Instrument Specialist
- Springfield, VT
National Provider Identifier
1821204538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 063-0000040
- Practice address
- 162 Park St
Springfield, VT 05156-3036 - Phone
- (802) 885-3399
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 063-0000040 | VT | Primary |
Addresses
Primary practice location
162 Park St
Springfield, VT 05156-3036
Mailing address
168 Crown Point Rd
Springfield, VT 05156-8878
Phone (802) 885-3399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006764 | Medicaid | VT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 063-0000040 | VT | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Health USA, LLC | Hearing Instrument Specialist | Past | Accepting new patients |
| Ideal Practice Management Group Mi LLC | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1013466408
Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1821204538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 CROWN POINT RD",
"city": "SPRINGFIELD",
"state": "VT",
"postal_code": "051568878",
"telephone_number": "802-885-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 PARK ST",
"city": "SPRINGFIELD",
"state": "VT",
"postal_code": "051563036",
"telephone_number": "802-885-3399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGONIGAL",
"first_name": "JAMES",
"name_suffix": "Jr.",
"credential": "BC-HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "VT",
"license": "063-0000040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1006764",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.