Organization Active NPI

Wiest Audiology and Professional Hearing Aid Service Inc

  • Audiologist-Hearing Aid Fitter
  • Butler, PA
National Provider Identifier
1912126459
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
D00608 Issued in PA
Legal business name
WIEST AUDIOLOGY AND PROFESSIONAL HEARING AID SERVICE INC
Practice address
208 Point Plaza
Butler, PA 16001
Phone
(724) 283-3984
Fax
(724) 283-3796
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Evelyn J McIntosh, MS CCCA
Title
President Audiologist
Phone
(724) 283-3984

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X AT000515L PA
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X D00608 PA Primary

Addresses

Primary practice location

208 Point Plaza
Butler, PA 16001

Mailing address

208 Point Plaza
Butler, PA 16001
Phone (724) 283-3984

Other identifiers 2

IdentifierTypeStateIssuer
323484OtherPAUPMC
01946676MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050411000474 PA Part B Supplier - Clinic/Group Practice 4082651161 Receives reassigned benefits from 1 practitioner
Practice locations: Butler, PA; Gibsonia, PA

National Provider Directory

National Provider Directory

Locations

208 Point Plz
Butler, PA 16001
Phone (724) 283-3984

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912126459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 POINT PLAZA",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "16001",
            "telephone_number": "724-283-3984",
            "fax_number": "724-283-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 POINT PLAZA",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "16001",
            "telephone_number": "724-283-3984",
            "fax_number": "724-283-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIEST AUDIOLOGY AND PROFESSIONAL HEARING AID SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT AUDIOLOGIST",
        "authorized_official_telephone_number": "724-283-3984",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS CCCA"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "PA",
            "license": "AT000515L",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "PA",
            "license": "D00608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "323484",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01946676",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.