John Steven Samuelson, BC-HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2002 Issued in OH

Practice address

836 E 2ND St
Defiance, OH 43512-2326

Phone

(419) 782-0836

Fax

(419) 782-0187

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Defiance Hearing Aid Center, Inc.

  • Hearing Instrument Specialist
  • Defiance, OH
  • NPI 1609901297
  NPD (past) Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851426456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122326",
            "telephone_number": "419-782-0836",
            "fax_number": "419-782-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122326",
            "telephone_number": "419-782-0836",
            "fax_number": "419-782-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "JOHN",
        "middle_name": "STEVEN",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "2002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0026662",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Suzanne Ross, CPHT
• Haley Marie Roth
• Faylynn Rowe
• Cathy Jean Rubel, PMHNP-BC
• Christa Rupple
• Terri Lee Samuelson, MS CCC-A
• Mark A Sanchez
• Frank Sanders, MS/LISW
• Natasha Sanders, COTA/L
• Thomas E Sandy, O.D.

• Hearing Instrument Specialist in Defiance, OH
• Providers in Defiance, OH by specialty
• Hearing Instrument Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.