Audiology Associates of Southern Oregon, Inc.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

20545 Issued in OR

Legal business name

AUDIOLOGY ASSOCIATES OF SOUTHERN OREGON, INC.

Practice address

1665 Williams Hwy
Grants Pass, OR 97527

Phone

(541) 474-4694

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Carl Jeffrey Berg, AUDNPI 1396876314

Title

President-Audiologist

Phone

(541) 474-4694

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 4

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

• Carl Jeffrey Berg, AU.D.

  • Audiologist
  • Grants Pass, OR
  • NPI 1396876314
  Medicare reassignment Care Compare group NPD Authorized official
• Craig Berg, AU.D

  • Audiologist
  • Grants Pass, OR
  • NPI 1659763639
  Medicare reassignment Care Compare group NPD
• Taylor Andrew Boney, AU.D.

  • Audiologist
  • Omaha, NE
  • NPI 1649626789

  OR

  Medicare reassignment Care Compare group NPD
• Samuel Nolan Peterson, AU.D.

  • Audiologist
  • Grants Pass, OR
  • NPI 1720332968
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1912111980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 WILLIAMS HWY",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "97527",
            "telephone_number": "541-474-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 WILLIAMS HWY",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "97527",
            "telephone_number": "541-474-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY ASSOCIATES OF SOUTHERN OREGON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT-AUDIOLOGIST",
        "authorized_official_telephone_number": "541-474-4694",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "OR",
            "license": "20545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah Avery

• Audiologist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Audiologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.