MR. RANDALL C. FLACKSBARTH (NPI# 1497917454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497917454 |
| Entity Type | Individual |
| Full Name | MR. RANDALL C. FLACKSBARTH |
| Credential | HIS |
| Practice Address |
2345 Fairview Ave N Roseville MN 55113-2724 |
| Mailing Address |
215 Shuman Blvd Ste 401 Naperville IL 60563-8123 |
| Practice Telephone | 6516334642 |
| Practice Fax Number | 6516334643 |
| Mailing Telephone | 6303035380 |
| Mailing Fax Number | 6303035385 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2017-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 2629 | MN | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3001 Maplewood Dr, Maplewood, MN 551091080 | 6517704235 | 6517470149 |
| Street Address |
2345 FAIRVIEW AVE N |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-2724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235522798 | Connect Hearing, Inc. | Audiologist | 2345 Fairview Ave N, Roseville, MN 55113-2724 | 2015-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| 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 |
|---|---|---|---|---|
| 1336783133 | Grace E Shafer | Hearing Instrument Specialist | 1935 County Road B2 W Ste 180, Roseville, MN 55113-2754 | 2019-11-05 |
| 1104481464 | John Patterson | Hearing Instrument Specialist | 32484 Gratiot Ave, Roseville, MI 48066-1117 | 2019-05-02 |
| 1891186433 | Chelsea Leigh Gibeau | Hearing Instrument Specialist | 2345 Fairview Avenue N, Roseville, MN 55113 | 2015-02-17 |
| 1154768182 | Cody Ling | Hearing Instrument Specialist | 29022 Gratiot Ave, Roseville, MI 48066-4112 | 2013-05-31 |
| 1841534641 | Bruce Honaker | Hearing Instrument Specialist | 807 Douglas Blvd Ste 100, Roseville, CA 95678-2763 | 2012-11-16 |
| 1710288832 | Eric Bradley | Hearing Instrument Specialist | 9700 Fairway Dr, Suite 120, Roseville, CA 95678-3604 | 2010-11-04 |
| 1740591759 | Renee D Flacksbarth | Hearing Instrument Specialist | 1611 County Rd. B W., 204, Roseville, MN 55113-5021 | 2010-06-24 |
| 1043533292 | Edward Paul Vinson | Hearing Instrument Specialist | 4010 Foothills Blvd, #104, Roseville, CA 95747-7241 | 2010-03-02 |
| 1265648851 | Kirk Franklin Hall | Hearing Instrument Specialist | 1805 Cirby Way, Suite # 8, Roseville, CA 95661-5533 | 2007-05-14 |
| 1376045203 | Ronald Hassett | Hearing Instrument Specialist | 1850 Douglas Blvd Ste 992, Roseville, CA 95661-3639 | 2018-03-07 |
| Find all providers in ROSEVILLE | ||||
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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.