Active NPI
Wiest Audiology and Professional Hearing Aid Service Inc
- Audiologist-Hearing Aid Fitter
- Butler, PA
National Provider Identifier
1912126459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- D00608
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AT000515L | PA | |
| Audiologist-Hearing Aid Fitter | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 323484 | Other | PA | UPMC |
| 01946676 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Audiologist
- Butler, PA
- NPI 1992973374
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.