PRINCETON AUDIOLOGY CLINIC, INC.,


Address: 2001 Stadium Drive, Suite D, Bluefield, WV 24701
Phone: 3043242954

PRINCETON AUDIOLOGY CLINIC, INC., (NPI# 1598981524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598981524
Entity Type Organization
Organization Name PRINCETON AUDIOLOGY CLINIC, INC.,
Other Organization Name DBA BLUE RIDGE HEARING AND BALANCE CLINIC
Practice Address 2001 Stadium Drive
Suite D
Bluefield
WV 24701
Mailing Address 508 New Hope Road
Suite #19
Princeton
WV 24740-2272
Practice Telephone 3043242954
Practice Fax Number 3043242955
Mailing Telephone 3044872487
Mailing Fax Number 3044313367
Enumeration Date 2007-04-18
Last Update Date 2014-09-04
Authorized Official Name ALAN L. DESMOND (PRESIDENT)
Authorized Official Telephone 3044872487
Authorized Official Credential AU.D., CCC-A
Is Organization Subpart Y
Parent Organization Name PRINCETON AUDIOLOGY CLINIC, INC., DBA BLUE RIDGE HEARING

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332S00000X Hearing Aid Equipment Suppliers
N 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers
Y 231H00000X Audiologist Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PALMETTO GBA RR MEDICARE CC375 01
WV 3810002482 05
MEDICARE PALMETTO GBA PTAN NUMBER PR9319052 01

Other Provider/Organization Names

Other Name Type Code
dba Blue Ridge Hearing and Balance Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1073580817 Princeton Audiology Clinic, Inc. Audiologist 508 New Hope Road, Suite #19, Princeton, WV 24740-2272 2006-03-01

Office Location

Street Address 2001 STADIUM DRIVE
SUITE D
City BLUEFIELD
State WV
Zip Code 24701

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285083105 Amber Mcclung Pharmacist South View Mall Us Route 52, Bluewell, WV 24701 2016-06-10
1083003909 Kerri Francis Specialist/Technologist 219 Rock Street, Bluefield, WV 24701 2015-01-15
1740524222 Stephanie Michelle Neely Specialist Rt 2 Old Princeton Road, Bluefield, WV 24701 2012-11-21
1649525676 Charles Lohr Pharmacist 2924 E Cumberland Rd, Bluefield, WV 24701 2012-07-16
1508144239 Chastity Leigh Walker Nurse Practitioner 510 Cherry St., Suite 301, Bluefield Primary Care, Bluefield, WV 24701 2011-07-29
1861795338 Tracy Lynn Mathena Pharmacist Us Rt 52 N, Bluewell, WV 24701 2010-12-06
1972810125 Bluefield Clinic Company LLC Clinic/Center 154 Majestic Place, Bluefield, WV 24701 2010-09-09
1477885804 Pearle Vision Inc Eyewear Supplier (Equipment, not the service) Mercer Mall Rte460, Mercer Mall Ste #740, Bluefield, WV 24701 2010-02-10
1629257522 Robert Martin Mustard II Technician/Technologist 210 1/2 North Street, Bluefield, WV 24701 2007-10-26
1952596603 Bluefield Int & Cardio Internal Medicine 1331 Southview Drive, Suite 5, Bluefield, WV 24701 2007-09-06
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Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134126634 Cheryl L Rhodes Audiologist 1242 Hockman Pike, Bluefield, VA 24605-9351 2005-06-30
1326227679 Appalachian Hearing and Balance Audiologist 1242 Hockman Pike, Bluefield, VA 24605-9351 2007-11-02
1730271834 Max R Mabry Audiologist 1242 Hockman Pike, Bluefield, VA 24605-9351 2006-09-28
1831197532 William J Larsen Audiologist 1242 Hockman Pike, Bluefield, VA 24605-9351 2005-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194339556 Anna Sampson Audiologist 719 Fairmont Ave Ste 203, Fairmont, WV 26554-5118 2020-09-03
1972161677 Elizabeth Ann Seckman Audiologist 48 Washington Ave, Wheeling, WV 26003-6241 2019-05-29
1750863213 Mariah Brooke Jennings Audiologist 1399 Midway Rd, Belington, WV 26250-7793 2018-08-31
1649768243 Brianna Rose Brown Audiologist 2520 Valley Dr Ste 112, Point Pleasant, WV 25550-2031 2018-04-29
1477079390 Vishakha W Rawool Audiologist 355 Oakland Street, 805 Allen Hall, Morgantown, WV 26506-6122 2017-08-22
1215338181 Carlee Ann Squires Audiologist 2012 Garfield Ave Ste 4, Parkersburg, WV 26101-2539 2014-09-10
1760893473 Mountaineer Audiology LLC Audiologist 24881 Old Northwest Turnpike Rd, Romney, WV 26757-8000 2014-05-15
1457697880 Stacia Dawn Demoss Audiologist 1425 Earl L Core Rd, Morgantown, WV 26505-5885 2012-12-12
1861745432 Connect Hearing, Inc. Audiologist 229 Church St S Ste E, Ripley, WV 25271-1509 2012-10-19
1871857193 Andrea Yost Audiologist 1191 Pineview Dr Ste H3, Morgantown, WV 26505-2778 2012-07-02
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Competitor

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City BLUEFIELD
Zip Code 24701

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Dataset Information

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.

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