Organization Active NPI

Midwest Audiology Inc.

  • Assistive Technology Practitioner Audiologist
  • Dixon, IL
National Provider Identifier
1922203298
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner AudiologistTaxonomy code 231HA2400X
Legal business name
MIDWEST AUDIOLOGY INC.
Practice address
404 N Galena Ave
Ste 120
Dixon, IL 61021-2115
Phone
(815) 288-1111
Fax
(815) 288-1111
NPI assigned
Jun 18, 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. Rebecca Ramsey Fogel, M.A., CCC-A
Title
President
Phone
(815) 288-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231HA2400X IL Primary

Addresses

Primary practice location

404 N Galena Ave
Ste 120
Dixon, IL 61021-2115

Mailing address

109 Pooler Ave
Dekalb, IL 60115-4626
Phone (181) 575-1224

Other identifiers 1

IdentifierTypeStateIssuer
03803OtherCOHEARUSA, HEARING CARE NET

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922203298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 POOLER AVE",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601154626",
            "telephone_number": "181-575-1224",
            "fax_number": "815-754-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N GALENA AVE",
            "address_2": "STE 120",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212115",
            "telephone_number": "815-288-1111",
            "fax_number": "815-288-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST AUDIOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOGEL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "RAMSEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-288-1111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARUSA, HEARING CARE NET",
            "identifier": "03803",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, IL

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.