Russell James Fankhouser, AU. D. CCCA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A0000000247 Issued in TN

Practice address

306 Sunset Drive
Suite 103
Johnson City, TN 37604

Phone

(423) 328-9190

Fax

(423) 328-9189

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Qualified Audiologist

Education

East Tennessee State University Quillen College of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Appalachian Hearing and Speech Center, LLCGroup PAC ID 4183938228, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Appalachian Hearing and Speech Center, LLC

  • Audiologist
  • Johnson City, TN
  • NPI 1659761062
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1851487953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 BULLOCK HOLLOW RD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201113",
            "telephone_number": "423-878-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 SUNSET DRIVE",
            "address_2": "SUITE 103",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-328-9190",
            "fax_number": "423-328-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANKHOUSER",
        "first_name": "RUSSELL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "AU. D. CCCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "A0000000247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Chiropractic Clinic
• Family Eyecare Center of Johnson City, PLLC
• Charles Famoyin, M.D.
• Felice Sui Fan, M.S., R.D.
• Cameron Fang
• Adam James Farmer, M.D.
• Kristen Michelle Farmer, FNP
• Margaret F Farmer, M.D.
• Rachel Farmer, MS, SLP
• Virginia Sue Farr, SLPE

• Audiologist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.

Verify at the official NPI Registry.