VERNON ALLEN SHAW (NPI# 1700866506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700866506 |
| Entity Type | Individual |
| Full Name | VERNON ALLEN SHAW |
| Credential | CCC-A |
| Practice Address |
99 E 86th Ave Merrillville IN 46410-6381 |
| Mailing Address |
99 E 86th Ave Ste A Merrillville IN 46410-6267 |
| Practice Telephone | 2197382617 |
| Practice Fax Number | 2197382145 |
| Mailing Telephone | 2197382528 |
| Mailing Fax Number | 2197382529 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2019-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 23001343A | IN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200098570 | 05 | |
| IN | ANTHEM | 000000288063 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 775 Waukegan Rd, Suite 200, Deerfield, IL 600154342 | 8003170711 | 8004347113 |
| Street Address |
99 E 86TH AVE |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-6381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184628992 | Dennis P Han | Otolaryngology | 99 E 86th Ave, Ste A, Merrillville, IN 46410-6267 | 2005-06-09 |
| 1104197516 | Prinn K Stang Md | Obstetrics & Gynecology | 99 E 86th Ave, Suite B, Merrillville, IN 46410-6267 | 2012-01-16 |
| 1740551159 | Perkin Stang Md | Obstetrics & Gynecology | 99 E 86th Ave, Suite B, Merrillville, IN 46410-6267 | 2012-01-16 |
| 1134424351 | Img Associates LLC | Specialist | 99 E 86th Ave, Suite D, Merrillville, IN 46410-6381 | 2011-01-19 |
| 1962629683 | Michele D Massow | Nurse Practitioner | 99 E 86th Ave, Suite A, Merrillville, IN 46410-6381 | 2007-04-20 |
| 1679616924 | Perkin Knot Stang | Family Medicine | 99 E 86th Ave, Suite B, Merrillville, IN 46410-6267 | 2007-02-15 |
| 1326198904 | Northwest Orthopedic Consultants, Inc. | Orthopaedic Surgery | 99 E 86th Ave, Suite C, Merrillville, IN 46410-6381 | 2007-01-12 |
| 1972670636 | Jaclin K Proctor | Audiologist | 99 E 86th Ave, Suite A, Merrillville, IN 46410-6381 | 2006-11-29 |
| 1407923170 | Kristine N. Van Nevel | Audiologist | 99 E 86th Ave, Suite A, Merrillville, IN 46410-6381 | 2006-11-29 |
| 1609943380 | Southlake Speech & Hearing Center, Inc | Audiologist | 99 E 86th Ave, Suite A, Merrillville, IN 46410-6381 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| 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 |
|---|---|---|---|---|
| 1285708867 | Ross Hearing Center, LLC | Audiologist | 1609 E 80th Ave, Merrillville, IN 46410-5737 | 2006-11-17 |
| 1093093650 | Jennifer Brooke Adams | Audiologist | 1609 E 80th Ave, Merrillville, IN 46410-5737 | 2011-08-01 |
| 1750440434 | Jennifer Madden Dauterman | Audiologist | 1609 E 80th Ave, Merrillville, IN 46410-5737 | 2006-12-08 |
| 1972670636 | Jaclin K Proctor | Audiologist | 99 E 86th Ave, Suite A, Merrillville, IN 46410-6381 | 2006-11-29 |
| 1407923170 | Kristine N. Van Nevel | Audiologist | 99 E 86th Ave, Suite A, Merrillville, IN 46410-6381 | 2006-11-29 |
| 1609943380 | Southlake Speech & Hearing Center, Inc | Audiologist | 99 E 86th Ave, Suite A, Merrillville, IN 46410-6381 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053922187 | Ryan David Leahy | Audiologist | 480 W Navajo St Ste A, West Lafayette, IN 47906-1940 | 2020-08-12 |
| 1720698558 | Shelby Zimmerman | Audiologist | 11725 Illinois St Ste 447, Carmel, IN 46032-3010 | 2020-08-06 |
| 1902441868 | Carolyn Herbert | Audiologist | 8330 Naab Rd Ste 235, Indianapolis, IN 46260-1932 | 2019-11-14 |
| 1518517002 | Katherine Noelle Griffith | Audiologist | 2421 Plum Woods Dr, Sellersburg, IN 47172-9081 | 2019-09-17 |
| 1548818131 | Allison Kern | Audiologist | 9106 N Meridian St Ste 200, Indianapolis, IN 46260-1826 | 2019-08-28 |
| 1508419359 | Barbara L Martig | Audiologist | 8425 Woodfield Crossing Blvd Ste 100, Indianapolis, IN 46240-7316 | 2019-07-22 |
| 1184286783 | Emily Elyse Brennecke | Audiologist | 1115 Ronald Reagan Pkwy Ste 255, Avon, IN 46123-6913 | 2019-07-03 |
| 1952961591 | Sarah Jewel Gurnik | Audiologist | 2020 S State Road 135 Ste 200, Greenwood, IN 46143-6503 | 2019-06-17 |
| 1942869292 | Elizabeth Zuber | Audiologist | 9604 Coldwater Rd Ste 103, Fort Wayne, IN 46825-2096 | 2019-06-11 |
| 1225696875 | Angela Pollack | Audiologist | 201 N Illinois St Fl 16, Indianapolis, IN 46204-1904 | 2019-05-30 |
| Find all providers with the same taxonomy | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
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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.