Active NPI
Scott M Mahar, AUDIOLOGIST
- Audiologist
- Grand Rapids, MI
National Provider Identifier
1821390097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 4055 Cascade Rd SE
Grand Rapids, MI 49546-2149 - Phone
- (616) 252-5760
- Fax
- (616) 252-5765
- NPI assigned
- Nov 22, 2010
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | MI | Primary |
Addresses
Primary practice location
4055 Cascade Rd SE
Grand Rapids, MI 49546-2149
Mailing address
5900 Byron Center Ave SW
Attn: Medical Administration
Wyoming, MI 49519-9606
Other practice location 1
2093 Health Dr SW
Wyoming, MI 49519-9691
Phone (616) 252-5760
Other practice location 2
5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-7200
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1821390097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BYRON CENTER AVE SW",
"address_2": "ATTN: MEDICAL ADMINISTRATION",
"city": "WYOMING",
"state": "MI",
"postal_code": "495199606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 CASCADE RD SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462149",
"telephone_number": "616-252-5760",
"fax_number": "616-252-5765"
}
],
"practiceLocations": [
{
"address_1": "2093 Health Dr SW",
"address_purpose": "LOCATION",
"city": "Wyoming",
"state": "MI",
"postal_code": "495199691",
"country_code": "US",
"telephone_number": "616-252-5760",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5900 Byron Center Ave SW",
"address_purpose": "LOCATION",
"city": "Wyoming",
"state": "MI",
"postal_code": "495199606",
"country_code": "US",
"telephone_number": "616-252-7200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHAR",
"first_name": "SCOTT",
"middle_name": "M",
"credential": "AUDIOLOGIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-22",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.