KEN BOSTROM (NPI# 1992364640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992364640 |
| Entity Type | Individual |
| Full Name | KEN BOSTROM |
| Credential | HIS |
| Practice Address |
115 N Dixie Dr Ste 230a Lake Jackson TX 77566-5903 |
| Mailing Address |
105 Camellia Ave Orange TX 77630-4657 |
| Practice Telephone | 8003921041 |
| Mailing Telephone | 8003921041 |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 50435 | TX | Speech, Language and Hearing Service Providers |
| Street Address |
115 N DIXIE DR STE 230A |
| City | LAKE JACKSON |
| State | TX |
| Zip Code | 77566-5903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271746 | Daniel Kent | Pharmacist | 121 Tx-332 W, Lake Jackson, TX 77566 | 2020-09-30 |
| 1134692403 | Gulf Coast Gastroenterology Lab | Clinical Medical Laboratory | 219 Oak Drive South, Suite A, Lake Jackson, TX 77566 | 2019-01-09 |
| 1194266288 | Kaitlin Dingee | Nurse Practitioner | 208 Oak Dr S Ste 502, Lake Jackson, TX 77566 | 2017-03-09 |
| 1326581935 | Nec Lake Jackson Emergency Center, Lp | Clinic/Center | 103 Winding Way, Lake Jackson, TX 77566 | 2016-11-30 |
| 1548618911 | Sara Eddy | Counselor | 109 Circle Way, Lake Jackson, TX 77566 | 2016-05-26 |
| 1689020158 | Baker Chiropractic Center Pllc | Chiropractor | 100-a Plantation Drive, Lake Jackson, TX 77566 | 2016-05-13 |
| 1326409368 | Janet Chen | Pharmacist | 131 Oyster Creek Dr., Lake Jackson, TX 77566 | 2016-03-18 |
| 1164819488 | Eco Dental Care, Pllc | Dentist | 210 Lake Rd, Ste 800 A, Lake Jackson, TX 77566 | 2015-04-24 |
| 1730578196 | Anna Katherine Tucker | Occupational Therapy Assistant | 1052 Cardinal Dr, Richwood, TX 77566 | 2015-01-22 |
| 1306243035 | H-e-b, Lp | Clinical Medical Laboratory | 97 Oyster Creek Drive, Lake Jackson, TX 77566 | 2014-11-24 |
| Find all providers in zip 77566 | ||||
| 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 |
|---|---|---|---|---|
| 1871788240 | William Thomas Hardy | Hearing Instrument Specialist | 201b Highway 332 W Ste 1300, Lake Jackson, TX 77566-4033 | 2007-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293488 | Ryan Barr | Hearing Instrument Specialist | 1501 Hanks St Ste A, Lufkin, TX 75904-5411 | 2020-10-23 |
| 1851998462 | Greg E. Keeney | Hearing Instrument Specialist | 1015 Pennsylvania Ave Ste 1, Fort Worth, TX 76104-2259 | 2020-10-06 |
| 1982217600 | Jordan Ashley Spencer | Hearing Instrument Specialist | 725 Airport Fwy Ste F, Hurst, TX 76053-3965 | 2020-08-24 |
| 1427674092 | Jamie Elizabeth Starr | Hearing Instrument Specialist | 630 N Highway 67 Ste 5, Cedar Hill, TX 75104-2156 | 2020-06-19 |
| 1295356566 | Mary Lou Grantham | Hearing Instrument Specialist | 1317 Glenwood Dr, Cleburne, TX 76033-4654 | 2020-04-28 |
| 1417587379 | Tammy Meshell Colmery | Hearing Instrument Specialist | 6200 Regional Plz Ste 1400, Abilene, TX 79606-5221 | 2020-01-20 |
| 1982241196 | Chance Allen Pritchard | Hearing Instrument Specialist | 101 Nw Ellison St # 109, Burleson, TX 76028-4745 | 2019-12-06 |
| 1053957654 | Lisa Cavell Durham | Hearing Instrument Specialist | 1802 Acton Hwy, Granbury, TX 76049-5900 | 2019-11-19 |
| 1497399588 | Tina Marie Evans | Hearing Instrument Specialist | 601 Ellis Ave, Lufkin, TX 75904-3820 | 2019-10-31 |
| 1689218000 | Dana Waldrip | Hearing Instrument Specialist | 401 N Highway 77 Ste 7a, Waxahachie, TX 75165-1976 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
| City | LAKE JACKSON |
| Zip Code | 77566 |
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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.