MR. TRAVIS ELIJAH PETRUSO (NPI# 1174878011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174878011 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS ELIJAH PETRUSO |
| Practice Address |
937 Park Ave Meadville PA 16335-3334 |
| Practice Telephone | 8147246211 |
| Practice Fax Number | 8143370188 |
| Mailing Telephone | 8147246211 |
| Mailing Fax Number | 8143370188 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | F03451 | PA | Speech, Language and Hearing Service Providers |
| Street Address |
937 PARK AVE |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750333084 | Robert William Petruso II | Audiologist | 937 Park Ave, Meadville, PA 16335-3334 | 2006-05-16 |
| 1780017145 | Kelly Kay Green | Audiologist | 937 Park Ave, Meadville, PA 16335-3334 | 2013-08-20 |
| 1164659090 | Patricia Ann Bush | Hearing Instrument Specialist | 937 Park Ave, Meadville, PA 16335-3334 | 2009-06-18 |
| 1699891127 | Arlene Marie Petruso | Hearing Instrument Specialist | 937 Park Ave, Meadville, PA 16335-3334 | 2007-03-22 |
| 1619010733 | R. W. Petruso Hearing and Audiology Center, Inc | Hearing Aid Equipment | 937 Park Ave, Meadville, PA 16335-3334 | 2007-02-15 |
| 1447303185 | Robert William Petruso | Technician/Technologist | 937 Park Ave, Meadville, PA 16335-3334 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| 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 |
|---|---|---|---|---|
| 1164659090 | Patricia Ann Bush | Hearing Instrument Specialist | 937 Park Ave, Meadville, PA 16335-3334 | 2009-06-18 |
| 1699891127 | Arlene Marie Petruso | Hearing Instrument Specialist | 937 Park Ave, Meadville, PA 16335-3334 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011633 | Crystal Uber | Hearing Instrument Specialist | 109 Woodfield Dr Ste 109, Greenville, PA 16125-1266 | 2020-10-23 |
| 1356957005 | Sherry Ann Serra | Hearing Instrument Specialist | 575 Coal Valley Rd Ste 2020, Clairton, PA 15025-3730 | 2020-09-18 |
| 1669080263 | Rose Defranco | Hearing Instrument Specialist | 3130 W Tilghman St, Allentown, PA 18104-4222 | 2020-07-20 |
| 1437774304 | Grady Arthur Harrington | Hearing Instrument Specialist | 47a Snyder Ave, Philadelphia, PA 19148-2709 | 2020-06-16 |
| 1053940353 | Charlene M Connor | Hearing Instrument Specialist | 695 Kidder St, Wilkes Barre, PA 18702-6938 | 2020-04-07 |
| 1114556545 | Sean Byrne | Hearing Instrument Specialist | 588 Susquehanna Blvd, Hazle Township, PA 18202-3372 | 2020-04-07 |
| 1801420229 | Jacklyn Carr | Hearing Instrument Specialist | 3425 Simpson Ferry Rd Ste 202, Camp Hill, PA 17011-6405 | 2020-02-25 |
| 1962032342 | Jesse Alan Lucht | Hearing Instrument Specialist | 1510 Route 61 Hwy S, Pottsville, PA 17901-8409 | 2020-01-24 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1417509720 | Jul Hearing Aid Solutions, LLC | Hearing Instrument Specialist | 3121 Mount Joy Rd Unit F, Mount Joy, PA 17552-9274 | 2019-07-16 |
| 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.