Individual provider Active NPI

Roger Louis McGargill, PH.D.

  • Audiologist-Hearing Aid Fitter
  • Omaha, NE
National Provider Identifier
1972784478
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
25 Issued in NE
Practice address
4509 Leavenworth St
Omaha, NE 68106-1418
Phone
(402) 558-0440
Fax
(402) 558-7794
NPI assigned
Nov 26, 2007
Last updated
Nov 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 25 NE Primary

Addresses

Primary practice location

4509 Leavenworth St
Omaha, NE 68106-1418

Mailing address

4509 Leavenworth St
Omaha, NE 68106-1418
Phone (402) 558-0440

Other identifiers 1

IdentifierTypeStateIssuer
47058844200MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
25NEMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Audiology and Hearing Center, Inc Audiologist-Hearing Aid Fitter Past Accepting new patients
Professional Audiology & Hearing Center Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1972784478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 LEAVENWORTH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681061418",
            "telephone_number": "402-558-0440",
            "fax_number": "402-558-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 LEAVENWORTH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681061418",
            "telephone_number": "402-558-0440",
            "fax_number": "402-558-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGARGILL",
        "first_name": "ROGER",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NE",
            "license": "25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47058844200",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.