MIDWEST AUDIOLOGY CENTER, LLC (NPI# 1215350251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215350251 |
| Entity Type | Organization |
| Organization Name | MIDWEST AUDIOLOGY CENTER, LLC |
| Practice Address |
4818 S 76th St Suite 3 Greenfield WI 53220-4362 |
| Practice Telephone | 4142818300 |
| Practice Fax Number | 4144550159 |
| Mailing Telephone | 4142818300 |
| Mailing Fax Number | 4144550159 |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |
| Authorized Official Name | DOUGLAS A KLOSS (OWNER/PROVIDER) |
| Authorized Official Telephone | 4142818300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 152156 | WI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE PTAN | 83991 | 01 |
| Street Address |
4818 S 76TH ST SUITE 3 |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53220-4362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295791911 | Donna M Belanger | Optometrist | 4818 S 76th St, Ste 1, Greenfield, WI 53220 | 2006-04-21 |
| 1104369180 | Joanne Marie Colombo Hughes | Audiologist-Hearing Aid Fitter | 4818 S 76th St, Suite 3, Greenfield, WI 53220-4362 | 2016-11-23 |
| 1881935401 | Theis and Associates, LLC | Clinic/Center | 4818 S 76th St, Greenfield, WI 53220-4362 | 2013-03-06 |
| 1588875843 | Douglas A. Kloss | Audiologist | 4818 S 76th St, Suite 3, Greenfield, WI 53220-4362 | 2007-05-25 |
| 1578651808 | Jonathan Paul Mueller | Chiropractor | 4818 S 76th St, Greenfield, WI 53220-4362 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871061069 | Kathleen Elizabeth White | Orthotist | 6790 W. Layton Ave, Greenfield, WI 53220 | 2018-11-06 |
| 1992284087 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 4859 South 60th Street, Greenfield, WI 53220 | 2018-08-09 |
| 1609394220 | Aaron Park | Speech-Language Pathologist | 3540 S. 43rd St., Milwaukee, WI 53220 | 2017-09-04 |
| 1730601675 | Rosaana Avila | Physical Therapist | 3944 S. 60th St., Milwaukee, WI 53220 | 2017-07-12 |
| 1285002667 | Casey E Reis | Nurse Practitioner | 4848 S. 76th Street, Greenfield, WI 53220 | 2015-09-02 |
| 1437539798 | Luke Robert Garceau | Physical Therapist | 6520 W. Layton Ave #101, Greenfield, WI 53220 | 2015-06-02 |
| 1295139012 | Tammy Giannopoulos, LLC | Clinic/Center | 4402 S 68th St Suite 100, Greenfield, WI 53220 | 2014-10-22 |
| 1861754244 | Lakeshore Medical Clinic | Occupational Therapist | 4444 West Loomis Road, 200, Greenfield, WI 53220 | 2012-06-12 |
| 1598083115 | Rebecca Anne Kappes | Licensed Practical Nurse | 8208 W Tripoli, Milwaukee, WI 53220 | 2010-05-06 |
| 1699941005 | Susan Marie Delaet | Physical Therapy Assistant | 5700 West Layton Ave, Greenfield, WI 53220 | 2008-05-06 |
| Find all providers in zip 53220 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262323 | Tammi T Wisniewski | Hearing Instrument Specialist | 4847 W. Forest Home Avenue, Greenfield, WI 53219 | 2020-10-14 |
| 1467089672 | John Paul Santucci | Hearing Instrument Specialist | 7945 W Layton Ave, Greenfield, WI 53220-3710 | 2020-03-26 |
| 1972041036 | Matthew E Goldsberry | Hearing Instrument Specialist | 25 E Boyd Ave, Greenfield, IN 46140-1391 | 2017-02-08 |
| 1376850933 | Lisa Rae Hottenstein-meier | Hearing Instrument Specialist | 4860 S 74th St, Greenfield, WI 53220-4359 | 2010-09-02 |
| 1467050203 | Jordan Scott Wisniewski | Hearing Instrument Specialist | 4847 W. Forest Home Avenue, Greenfield, WI 53219 | 2020-10-14 |
| 1306304001 | B. S. Wisniewski Custom Hearing | Hearing Instrument Specialist | 4847 W Forest Home Ave, Greenfield, WI 53219-4719 | 2019-03-12 |
| 1205208212 | Jacob Hince | Hearing Instrument Specialist | 4860 S 74th St, Suite #2, Greenfield, WI 53220-4359 | 2015-10-29 |
| 1740610153 | Matt Maro | Hearing Instrument Specialist | 4860 S 74th St, Suite A-02, Greenfield, WI 53220-4359 | 2013-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174965 | Kayla Hensley | Hearing Instrument Specialist | 169 E Wisconsin Ave Unit H, Oconomowoc, WI 53066-3062 | 2020-11-04 |
| 1831797687 | Brian Gordon Wisniewski | Hearing Instrument Specialist | 13000 W. Bluemound Road, Elm Grove, WI 53122 | 2020-10-14 |
| 1437778438 | Nicole M Halverson | Hearing Instrument Specialist | 550 N Military Ave Ste 4a, Green Bay, WI 54303-4569 | 2020-04-10 |
| 1467088559 | Reed Harris | Hearing Instrument Specialist | 131 Carmichael Rd Ste 204, Hudson, WI 54016-8271 | 2020-03-20 |
| 1831732320 | Amy Meyer | Hearing Instrument Specialist | 4535 Mormon Coulee Rd Ste 2, La Crosse, WI 54601-8289 | 2019-10-28 |
| 1659914505 | Maria E Seefeld | Hearing Instrument Specialist | 302 N Saint Joseph Ave, Marshfield, WI 54449-1800 | 2019-10-23 |
| 1922640986 | Mitchell J Zdroik | Hearing Instrument Specialist | 7475 Mineral Point Rd Ste 15, Madison, WI 53717-1712 | 2019-10-11 |
| 1700436995 | Scott V Rantanen | Hearing Instrument Specialist | 7214 Green Bay Rd Ste 106, Kenosha, WI 53142-3516 | 2019-09-19 |
| 1891354155 | Eliza J Schulfer | Hearing Instrument Specialist | 719 W Main St Ste A, Wautoma, WI 54982-8503 | 2019-06-11 |
| 1114584976 | Cassandra Sue Senecal | Hearing Instrument Specialist | 525 E Division St Ste 106, Fond Du Lac, WI 54935-3747 | 2019-05-28 |
| Find all providers with the same taxonomy | ||||
| City | GREENFIELD |
| Zip Code | 53220 |
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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.