Larry W Wundrow, MS, AUDIOLOGIST

Primary specialty

AudiologistTaxonomy code 231H00000X

License

178 Issued in MT

Practice address

601 S Orange St
Missoula, MT 59801-2611

Phone

(406) 549-1951

Fax

(406) 542-5682

NPI assigned

Feb 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Comprehensive Hearing Services, Inc.

  • Audiologist
  • Helena, MT
  • NPI 1255661377
  NPD
• Audigycare, LLC

  • Audiologist-Hearing Aid Fitter
  • Vancouver, WA
  • NPI 1720364920
  NPD
• Vibrant Sound Works, Inc

  • Audiologist
  • Missoula, MT
  • NPI 1306071329
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1831233790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S ORANGE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598012611",
            "telephone_number": "406-549-1951",
            "fax_number": "406-542-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S ORANGE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598012611",
            "telephone_number": "406-549-1951",
            "fax_number": "406-542-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUNDROW",
        "first_name": "LARRY",
        "middle_name": "W",
        "credential": "MS, AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MT",
            "license": "178",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MT",
            "license": "114",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0569257",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBBSMT",
            "identifier": "029108",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0531076",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831233790",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• G. Steven Wright Jr., M.D.
• Marisa Wright, CLC, CD(DONA)
• Stephanie Wright
• Tayler Paige Wright, RBT
• Maayan Wulf, DSOM, L.AC
• Scott C Wyman, MD
• Wyscriptz LLC
• Diane M Yahn, MD
• James Thomas Yancy, ATC, CSCS
• Linda Yearous, MSW, LCSW

• Audiologist in Missoula, MT
• Providers in Missoula, MT by specialty
• Audiologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.