NPIMap

Organization Active NPI

Eye & ENT Specialists

Doing business as Creekside Hearing

  • Hearing Aid Equipment
  • Hastings, MI
National Provider Identifier
1912118563
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
MN053930 Issued in MI
Legal business name
EYE & ENT SPECIALISTS
Doing business as
Creekside Hearing
Practice address
1761 W M 43 Hwy
Hastings, MI 49058-8378
Phone
(269) 945-3888
Fax
(269) 945-2112
NPI assigned
May 25, 2007
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Michael S Nosanov, MD
Title
Owner
Phone
(269) 945-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X MN053930 MI Primary

Addresses

Primary practice location

1761 W M 43 Hwy
Hastings, MI 49058-8378

Mailing address

1761 W M 43 Hwy
Hastings, MI 49058-8378
Phone (269) 945-3888

Other identifiers 1

IdentifierTypeStateIssuer
805186836MedicaidMI

Other names 1

  • Creekside Hearing Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eye ENT Specialists3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1912118563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 W M 43 HWY",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490588378",
            "telephone_number": "269-945-3888",
            "fax_number": "269-945-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 W M 43 HWY",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490588378",
            "telephone_number": "269-945-3888",
            "fax_number": "269-945-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE & ENT SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "NOSANOV",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-945-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "MI",
            "license": "MN053930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805186836",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hastings, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.