DR. JON C DOUGLAS (NPI# 1922071083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922071083 |
| Entity Type | Individual |
| Full Name | DR. JON C DOUGLAS |
| Credential | AUD |
| Practice Address |
1975 Willow Dr University of Wisconsin Speech and Hearing Clinic Madison WI 53706-1103 |
| Mailing Address |
1500 Highland Ave Waisman Center Madison WI 53705-2274 |
| Practice Telephone | 6082635804 |
| Mailing Telephone | 6082635804 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2016-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 500-156 | WI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEAN HEALTH INSURANCE | 60633 | 01 |
| WI | 41153000 | 05 |
| Street Address |
1975 WILLOW DR UNIVERSITY OF WISCONSIN SPEECH AND HEARING CLINIC |
| City | MADISON |
| State | WI |
| Zip Code | 53706-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578730487 | Kimberly Marie Smuda | Audiologist | 1975 Willow Dr, Madison, WI 53706-1103 | 2008-05-09 |
| 1366618787 | Jamie Elizabeth Murray-branch | Speech-Language Pathologist | 1975 Willow Dr, Madison, WI 53706-1103 | 2008-05-06 |
| 1548433956 | Patricia B Schraeder | Speech-Language Pathologist | 1975 Willow Dr, Uw Madison Departmen, Madison, WI 53706-1103 | 2008-04-07 |
| 1073783692 | University Speech and Hearing Clinic | Clinic/Center | 1975 Willow Dr, Madison, WI 53706-1103 | 2008-03-11 |
| 1215037213 | Daniel T Stoppenbach | Audiologist | 1975 Willow Dr, Madison, WI 53706-1103 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639297344 | Takuya Minami | Psychologist | 305 Education Building, 1000 Bascom Mall, Counseling Psychology, University of Wisconsin-madison, Madison, WI 53706 | 2007-03-27 |
| 1073765202 | Kathern Elizabeth Myrna | Veterinarian | 2015 Linden Dr, Svm Dept Surgical Sciences- Ophthalmology, Madison, WI 53706-1100 | 2008-10-21 |
| 1861831679 | Constance Fazio | Veterinarian | 2015 Linden Dr, Uw Veterinary Care, Madison, WI 53706-1100 | 2013-06-14 |
| 1841546959 | Kenneth Russell Waller IIi | Veterinarian | 2015 Linden Dr, Room 2058, Madison, WI 53706-1100 | 2012-07-25 |
| 1376778829 | Uw-madison Vet Med Hospital Pharmacy | Pharmacy | 2015 Linden Dr, Uw Madison School of Veterinary Medicine Pharmacy, Madison, WI 53706-1100 | 2009-05-27 |
| 1710518113 | Alyssa Volz | Student in an Organized Health Care Education/Training Program | 2000 Observatory Dr # 1037, Madison, WI 53706-1121 | 2020-02-04 |
| 1093346488 | Grace Kunesh | Student in an Organized Health Care Education/Training Program | 2000 Observatory Dr # 1057, Madison, WI 53706-1121 | 2020-02-04 |
| 1801096391 | Andrew Patrick Winterstein | Specialist/Technologist | 2000 Observatory Dr, Madison, WI 53706-1121 | 2007-07-23 |
| 1174154579 | Tyler King | Student in an Organized Health Care Education/Training Program | 2000 Observatory Dr, Madison, WI 53706-1121 | 2020-02-04 |
| 1891326294 | Grant Gwain Yee | Student in an Organized Health Care Education/Training Program | 2000 Observatory Dr # 1037, Madison, WI 53706-1121 | 2020-02-04 |
| Find all providers in zip 53706 | ||||
| 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 |
|---|---|---|---|---|
| 1548784390 | Tiffany B Langham | Audiologist | 401 Baptist Dr Ste 204, Madison, MS 39110-2011 | 2017-08-02 |
| 1417139304 | Melissa B. Haynes | Audiologist | 927 Franklin Street, Suite 100, Madison, AL 35801-0000 | 2007-12-03 |
| 1043305451 | Michael Alan Scholin | Audiologist | 27 Waterford Cir, Madison, WI 53719-1588 | 2006-10-03 |
| 1649363102 | Mary Rebecca Foster | Audiologist | 132 Bridge Water Drive, Madison, MS 39110 | 2006-10-02 |
| 1366042509 | Kaitlin Nicole Walsh | Audiologist | 598 Grand Canyon Dr, Madison, WI 53719-1033 | 2020-10-27 |
| 1205444262 | Hannah Elizabeth Kostrzewski | Audiologist | 1994 Gallatin Pike N Ste 200, Madison, TN 37115-2024 | 2020-07-16 |
| 1518508639 | Sara Misurelli | Audiologist | 600 Highland Ave, Madison, WI 53792-0001 | 2019-09-30 |
| 1962064311 | Eric Lee Brown | Audiologist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2019-07-07 |
| 1326561721 | Kasi Cassandra Saucier | Audiologist | 401 Baptist Dr Ste 206, Madison, MS 39110-2011 | 2017-07-18 |
| 1477075950 | Benjamin L Hendricks | Audiologist | 603 Clifty Dr, Madison, IN 47250-1610 | 2017-07-17 |
| Find all providers in MADISON | ||||
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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.