Individual provider Active NPI

Keith Zukas

  • Hearing Instrument Specialist
  • Shaker Heights, OH
National Provider Identifier
1821539446
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
02389 Issued in OH
Practice address
20812 Sydenham Rd
Shaker Heights, OH 44122-2926
Phone
(234) 401-9248
NPI assigned
Mar 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 02389 OH Primary

Addresses

Primary practice location

20812 Sydenham Rd
Shaker Heights, OH 44122-2926

Mailing address

4822 Everhard Rd NW
Canton, OH 44718-2413
Phone (234) 401-9248

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

LicenseStateTypeSpecialty
02389OHMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
FNM Enterprises, Inc. Past Accepting new patients
Hearing Health 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.

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1821539446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 EVERHARD RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182413",
            "telephone_number": "234-401-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20812 SYDENHAM RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441222926",
            "telephone_number": "234-401-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUKAS",
        "first_name": "KEITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "02389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.