JAY BENJAMIN SKUDLAREK (NPI# 1417433152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417433152 |
Entity Type | Individual |
Full Name | JAY BENJAMIN SKUDLAREK |
Practice Address |
229 N Bartlett St Medford OR 97501-6028 |
Practice Telephone | 5414148488 |
Enumeration Date | 2018-07-16 |
Last Update Date | 2018-07-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 237700000X | Hearing Instrument Specialist | HAS-P-10174930 | OR | Speech, Language and Hearing Service Providers |
Street Address |
229 N BARTLETT ST |
City | MEDFORD |
State | OR |
Zip Code | 97501-6028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235493081 | Nathan Alexander Willard | Hearing Instrument Specialist | 229 N Bartlett St, Medford, OR 97501-6028 | 2012-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
Find all providers in zip 97501 |
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 |
---|---|---|---|---|
1982233250 | Jenessa Bolenbaugh | Hearing Instrument Specialist | 3250 Hillcrest Park Dr Ste 102, Medford, OR 97504-7684 | 2020-04-07 |
1659782472 | Greyson Mcconnell | Hearing Instrument Specialist | 127 Main St Ste B, Medford, MA 02155-4522 | 2014-05-14 |
1184048050 | Soundscape, LLC. | Hearing Instrument Specialist | 229 N. Bartlett St. Suite 205, Medford, OR 97501 | 2014-02-12 |
1235493081 | Nathan Alexander Willard | Hearing Instrument Specialist | 229 N Bartlett St, Medford, OR 97501-6028 | 2012-06-26 |
1689989410 | Tony Wayne Noon | Hearing Instrument Specialist | 712 E Jackson St, Medford, OR 97504-6712 | 2010-08-17 |
1336473909 | Dianne Ingwersen | Hearing Instrument Specialist | 3 Ashland St, Medford, MA 02155-3214 | 2009-09-29 |
1740307735 | Scott Wilson | Hearing Instrument Specialist | 751 Stokes Rd, Medford, NJ 08055-3002 | 2007-03-23 |
1760559066 | Richard Lloyd Rogers | Hearing Instrument Specialist | 42 S Central Ave, Medford, OR 97501-7220 | 2006-11-29 |
1144303637 | Dianna Lynn Anderson | Hearing Instrument Specialist | 401 Crater Lake Ave., Ste. 1, Medford, OR 97504 | 2006-10-20 |
1558726588 | Aaron Ray Bolenbaugh | Hearing Instrument Specialist | 712 E Jackson St, Medford, OR 97504-6712 | 2015-12-17 |
Find all providers in MEDFORD |
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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.