Individual provider Active NPI

Suzanne Rene Ginter, AU.D.

  • Audiologist
  • Goshen, IN
National Provider Identifier
1871688069
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002190A Issued in IN
Practice address
2134 College Ave
Goshen, IN 46528-5004
Phone
(574) 533-2222
Fax
(574) 533-6868
NPI assigned
Oct 4, 2006
Last updated
Nov 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002190A IN Primary
Audiologist-Hearing Aid Fitter 237600000X 23002190A IN

Addresses

Primary practice location

2134 College Ave
Goshen, IN 46528-5004

Mailing address

2134 College Ave
Goshen, IN 46528-5004
Phone (574) 533-2222

Other identifiers 5

IdentifierTypeStateIssuer
1356512974OtherINFAMILY HEARING CENTER, INC. GROUP NPI
1871688069OtherSUZANNE GINTER PERSONAL NPI
200668300OtherINFIRST STEPS EDS
256980AOtherINMEDIARE PTAN
200534540MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050224000992 IN Practitioner - Qualified Audiologist 7012960461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2134 College Ave
Goshen, IN 46528-5004
Phone (574) 533-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23002190AINMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Family Hearing Center, Inc Audiologist CurrentSince Jun 1, 2008 Accepting new patients
Family Hearing Center, Inc. Audiologist CurrentSince Jun 1, 2008 Accepting new patients
Hearing Diagnostics Center PC Audiologist Past Accepting new patients

Locations

123 N Center St
Bremen, IN 46506
Phone (574) 533-2222

2134 College Ave
Goshen, IN 46528
Phone (574) 533-2222

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1871688069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 COLLEGE AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465285004",
            "telephone_number": "574-533-2222",
            "fax_number": "574-533-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 COLLEGE AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465285004",
            "telephone_number": "574-533-2222",
            "fax_number": "574-533-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINTER",
        "first_name": "SUZANNE",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002190A",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IN",
            "license": "23002190A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY HEARING CENTER, INC. GROUP NPI",
            "identifier": "1356512974",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUZANNE GINTER PERSONAL NPI",
            "identifier": "1871688069",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STEPS EDS",
            "identifier": "200668300",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIARE PTAN",
            "identifier": "256980A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200534540",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.