Active NPI
Charles Palmer, AU.D.
- Audiologist
- Russellville, AR
National Provider Identifier
1831214972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A151
- Practice address
- 200 N Quanah Ave
Russellville, AR 72801-2762 - Phone
- (479) 968-7250
- Fax
- (479) 890-6345
- NPI assigned
- Mar 20, 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | A151 | AR | Primary |
Addresses
Primary practice location
200 N Quanah Ave
Russellville, AR 72801-2762
Mailing address
200 N Quanah Ave
Russellville, AR 72801-2762
Phone (479) 968-7250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090227000219 | AR | Practitioner - Qualified Audiologist | 7113083130 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Florida College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
200 N Quanah Ave
Russellville, AR 72801-2762
Phone (479) 968-7250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ezechiel R. Nehus, MD, PA | Current | Accepting new patients | |
| Exceptional Hearing LLC | Current | Accepting new patients | |
| Palmer Audiology, PLLC | Current | Accepting new patients |
Locations
1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178
200 N Quanah Ave
Russellville, AR 72801
Phone (479) 890-0368
Organizations & group practices 3
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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Russellville, AR
- NPI 1871569269
AR
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1831214972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N QUANAH AVE",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012762",
"telephone_number": "479-968-7250",
"fax_number": "479-890-6345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N QUANAH AVE",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012762",
"telephone_number": "479-968-7250",
"fax_number": "479-890-6345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AR",
"license": "A151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.