Active NPI
Alan Lee Gambill, STATE LICENSED HAD
- Hearing Instrument Specialist
- Greenwood, IN
National Provider Identifier
1992876205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 17001222A
- Practice address
- 239 S State Road 135
Greenwood, IN 46142-1421 - Phone
- (317) 865-7676
- Fax
- (317) 865-7674
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 17001222A | IN | Primary |
Addresses
Primary practice location
239 S State Road 135
Greenwood, IN 46142-1421
Mailing address
239 S State Road 135
Greenwood, IN 46142-1421
Phone (317) 865-7676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000346775 | Other | IN | ANTHEM PROVIDER NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17001222A | IN | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audioxcellence Inc | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hearing Aid Equipment
- Greenwood, IN
- NPI 1619694841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992876205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 S STATE ROAD 135",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421421",
"telephone_number": "317-865-7676",
"fax_number": "317-865-7674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 S STATE ROAD 135",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421421",
"telephone_number": "317-865-7676",
"fax_number": "317-865-7674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBILL",
"first_name": "ALAN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "STATE LICENSED HAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IN",
"license": "17001222A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000346775",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.