PRINCETON AUDIOLOGY CLINIC, INC., (NPI# 1073580817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073580817 |
| Entity Type | Organization |
| Organization Name | PRINCETON AUDIOLOGY CLINIC, INC., |
| Other Organization Name | DBA BLUE RIDGE HEARING AND BALANCE CLINIC |
| Practice Address |
508 New Hope Road Suite #19 Princeton WV 24740-2272 |
| Practice Telephone | 3044872487 |
| Practice Fax Number | 3044313367 |
| Mailing Telephone | 3044872487 |
| Mailing Fax Number | 3044313367 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2013-06-05 |
| Authorized Official Name | ALAN LOUIS DESMOND (PRESIDENT) |
| Authorized Official Telephone | 3044872487 |
| Authorized Official Credential | AUD., CCC-A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 332S00000X | Hearing Aid Equipment | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810002482 | 05 | |
| PALMETTO GBA RR MEDICARE | CC3775 | 01 | |
| WV | 4250000-000 | 05 | |
| PALMETTO GBA MEDICARE PTAN NUMBER PCTN OFFICE | PR9319051 | 01 | |
| PALMETTO GBA MEDICARE PTAN NUMBER BLFD OFFICE | PR9319052 | 01 | |
| WV | 4250000000 | 05 |
| Other Name | Type Code |
|---|---|
| dba Blue Ridge Hearing and Balance Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598981524 | Princeton Audiology Clinic, Inc. | Hearing Aid Equipment | 2001 Stadium Drive, Suite D, Bluefield, WV 24701 | 2007-04-18 |
| Street Address |
508 NEW HOPE ROAD SUITE #19 |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740-2272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831502384 | Lindsey Shea Underwood | Audiologist | 508 New Hope Road, Suite #19, Princeton, WV 24740-2272 | 2014-06-03 |
| 1962799338 | Tara Janae Minnix-harmon | Audiologist | 508 New Hope Road, Suite #19, Princeton, WV 24740-2272 | 2011-07-06 |
| 1275501439 | Alan Louis Desmond | Audiologist | 508 New Hope Road, Suite #19, Princeton, WV 24740-2272 | 2006-03-14 |
| 1609843440 | Sharon Lynne Jividen | Audiologist | 508 New Hope Road, Suite #19, Princeton, WV 24740-2272 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| Taxonomy Code | 332S00000X |
| Grouping | Suppliers |
| Classification | Hearing Aid Equipment |
| The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902352826 | Hearusa | Hearing Aid Equipment | 126 Main St, Unit A 11, Princeton, NJ 08540-5733 | 2016-08-31 |
| 1912396722 | Hearing Enhancement LLC | Hearing Aid Equipment | 405 W State St, Suite 1, Princeton, IN 47670-1343 | 2015-01-16 |
| 1285906610 | Hearing Professionals Inc | Hearing Aid Equipment | 116 S Rum River Dr Ste 195, Princeton, MN 55371-1859 | 2012-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144696741 | Hearing Solutions Services, Inc. | Hearing Aid Equipment | 449 Valley View Rd, Bridgeport, WV 26330-7259 | 2015-08-18 |
| 1336560267 | Heritage Hearing Aid Center LLC | Hearing Aid Equipment | 1105 Harrison Ave., Elkins, WV 26241 | 2013-12-19 |
| 1033546924 | Stonewall Home Oxygen Therapy, Inc. | Hearing Aid Equipment | 456 Market Place Mall, Suite A, Weston, WV 26452-6938 | 2013-10-09 |
| 1386980704 | Heritage Hearing Aid Centers, LLC | Hearing Aid Equipment | Route 3 Box 3288, Keyser, WV 26726 | 2012-12-13 |
| 1720324114 | Hearing Central | Hearing Aid Equipment | 1425 Earl L. Core Rd., Morgantown, WV 26505 | 2012-12-13 |
| 1821334251 | Heritage Hearing Aid Centers, LLC | Hearing Aid Equipment | 305 Virginia Ave, Petersburg, WV 26847-1717 | 2012-12-12 |
| 1497028500 | Fort Ashby Business Associates, Inc. | Hearing Aid Equipment | 141 Water Street, Moorefield, WV 26847 | 2012-02-21 |
| 1629217203 | Audiological Associates, Inc. | Hearing Aid Equipment | 319 S Raleigh St, Martinsburg, WV 25401-2638 | 2009-02-05 |
| 1598981524 | Princeton Audiology Clinic, Inc. | Hearing Aid Equipment | 2001 Stadium Drive, Suite D, Bluefield, WV 24701 | 2007-04-18 |
| 1912001074 | L.e.h. Associates, Inc. | Hearing Aid Equipment | 1100 !/2 36th Street, Parkersburg, WV 26104 | 2006-09-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.