Greentree Audiology Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GREENTREE AUDIOLOGY INC

Practice address

10900 Manchester Rd
Ste 202
Kirkwood, MO 63122-1200

Phone

(314) 835-9996

Fax

(314) 835-9992

NPI assigned

Sep 19, 2012

Organization subpart

No

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

Authorized official

Name

Russell W Pickett, AUD,CCC-A/FAAA

Title

Audiologist, Owner

Phone

(314) 835-9996

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Scarlas, MS -CCCA

  • Audiologist-Hearing Aid Fitter
  • Kirkwood, MO
  • NPI 1265615512
  Medicare reassignment

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1861743692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 MANCHESTER RD",
            "address_2": "STE 202",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631221200",
            "telephone_number": "314-835-9996",
            "fax_number": "314-835-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 MANCHESTER RD",
            "address_2": "STE 202",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631221200",
            "telephone_number": "314-835-9996",
            "fax_number": "314-835-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENTREE AUDIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "AUDIOLOGIST, OWNER",
        "authorized_official_telephone_number": "314-835-9996",
        "authorized_official_credential": "AUD,CCC-A/FAAA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxine W Gilner, PH.D.
• Christopher Matthew Godinez
• Toni Annette Goins-Crank, D.D.S., M.S.
• Meghan Elizabeth Gray, LBA, BCBA
• Timothy Grayem, DDS
• Greentree Pharmacy LLC
• Kim Grega, M.ED, LPC
• Denise Renee Grider, MS, ATC, CSCS, PES
• Kathleen Ann Griffith, MS, CCC-SLP
• Dawn Gross, MSW, LCSW

• Clinic/Center in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.