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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PALMETTO GBA RR MEDICARE | CC375 | 01 | |
WV | 3810002482 | 05 | |
MEDICARE PALMETTO GBA PTAN NUMBER | PR9319052 | 01 |
Other Name | Type Code |
---|---|
dba Blue Ridge Hearing and Balance Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073580817 | Princeton Audiology Clinic, Inc. | Audiologist | 508 New Hope Road, Suite #19, Princeton, WV 24740-2272 | 2006-03-01 |
Street Address |
2001 STADIUM DRIVE SUITE D |
City | BLUEFIELD |
State | WV |
Zip Code | 24701 |
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 |
Find all providers in zip 24701 |
Taxonomy Code | 231H00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Audiologist |
(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 |
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 |
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 |
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.