Individual provider Active NPI

Leigh G Schaid, AU.D., CCC-A

  • Audiologist-Hearing Aid Fitter
  • Bloomington, IN
National Provider Identifier
1902133556
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
23002467A Issued in IN
Practice address
359 S Landmark Ave
Bloomington, IN 47403-5002
Phone
(317) 334-3919
NPI assigned
Nov 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 23002467A IN Primary

Addresses

Primary practice location

359 S Landmark Ave
Bloomington, IN 47403-5002

Mailing address

359 S Landmark Ave
Bloomington, IN 47403-5002
Phone (317) 334-3919

Other identifiers 1

IdentifierTypeStateIssuer
100133960LMedicaidIN

Other names 1

  • Leigh D Kamrath Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150512002258 OR Practitioner - Qualified Audiologist 0042355257 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23002467AINMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific University Audiologist-Hearing Aid Fitter CurrentSince Jul 1, 2014 Accepting new patients
Pacific University CurrentSince Jul 1, 2014 Accepting new patients
Pacific University Current Accepting new patients
Florida ENT Associates, Inc. Past Accepting new patients

Locations

2043 College Way
Forest Grove, OR 97116
Phone (503) 352-2020

333 SE 7th Ave
Ste 4150
Hillsboro, OR 97123
Phone (503) 352-2661

333 SE 7th Ave
#4150
Hillsboro, OR 97123
Phone (503) 352-2692

222 SE 8th Ave
Ste 114
Hillsboro, OR 97123
Phone (503) 352-7300

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1902133556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035002",
            "telephone_number": "317-334-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035002",
            "telephone_number": "317-334-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAID",
        "first_name": "LEIGH",
        "middle_name": "G",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IN",
            "license": "23002467A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100133960L",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGH",
            "last_name": "KAMRATH",
            "middle_name": "D",
            "credential": "23002467A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.