Professional Hearing Group

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A931 Issued in WY

Legal business name

PROFESSIONAL HEARING GROUP

Practice address

407 S Medical Arts CT
Suite F
Gillette, WY 82716-3372

Phone

(307) 682-3399

Fax

(307) 682-3436

NPI assigned

May 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cassidy K Archie

Title

Finance Manager

Phone

(307) 322-3332

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841408416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 GILCHRIST ST",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "822012932",
            "telephone_number": "307-682-3399",
            "fax_number": "307-682-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S MEDICAL ARTS CT",
            "address_2": "SUITE F",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163372",
            "telephone_number": "307-682-3399",
            "fax_number": "307-682-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEARING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARCHIE",
        "authorized_official_first_name": "CASSIDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "307-322-3332"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WY",
            "license": "A960",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WY",
            "license": "A931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.