Organization Active NPI

The Audiology Center,LLC

  • Audiologist
  • Cape Girardeau, MO
National Provider Identifier
1902009905
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01168 & 102600 Issued in MO
Legal business name
THE AUDIOLOGY CENTER,LLC
Practice address
262 S Mount Auburn Rd
Cape Girardeau, MO 63703-4918
Phone
(573) 651-3404
Fax
(573) 651-0035
NPI assigned
Jun 7, 2007
Last updated
Jan 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Steve L Brown, AUD
Title
Dr of Audiology
Phone
(573) 651-3404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 01168 & 102600 MO Primary

Addresses

Primary practice location

262 S Mount Auburn Rd
Cape Girardeau, MO 63703-4918

Mailing address

262 S Mount Auburn Rd
Cape Girardeau, MO 63703-4918
Phone (573) 651-3404

Other identifiers 3

IdentifierTypeStateIssuer
504578600MedicaidMO
000024235OtherMOMEDICARE PROVIDER TRANSACTION ACCESS NUMBER FOR CATHY L WILLEN
000024236OtherMOMEDICARE PROVIDER TRANSACTION ACCESS NUMBER FOR STEVE BROWN

National Provider Directory

National Provider Directory

Locations

262 S Mount Auburn Rd
Cpe Girardeau, MO 63703
Phone (573) 651-3404

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1902009905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 S MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034918",
            "telephone_number": "573-651-3404",
            "fax_number": "573-651-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 S MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034918",
            "telephone_number": "573-651-3404",
            "fax_number": "573-651-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AUDIOLOGY CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DR OF AUDIOLOGY",
        "authorized_official_telephone_number": "573-651-3404",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MO",
            "license": "01168    &    102600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504578600",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER TRANSACTION ACCESS NUMBER FOR CATHY L WILLEN",
            "identifier": "000024235",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER TRANSACTION ACCESS NUMBER FOR STEVE BROWN",
            "identifier": "000024236",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.