AUDIOLOGY CONSULTANTS OF SOUTHERN OREGON, INC. NPI 1003009325

Audiologist in Roseburg, OR

NPI 1003009325 Organization Audiologist

About AUDIOLOGY CONSULTANTS OF SOUTHERN OREGON, INC.

Audiology Consultants Of Southern Oregon, Inc. is a provider established in Roseburg, Oregon specializing in audiologist. The NPI number of Audiology Consultants Of Southern Oregon, Inc. is 1003009325 and was assigned on August 2007. The practitioner's primary taxonomy code is 231H00000X with license number 22652 (OR). The provider is registered as an organization and their NPI record was last updated 14 years ago. Audiology Consultants Of Southern Oregon, Inc. operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Carl Jeffrey Berg Au.d. (Audiologist/president)

NPI

1003009325

Provider NameAUDIOLOGY CONSULTANTS OF SOUTHERN OREGON, INC.
Provider Location Address1367 W HARVARD AVE ROSEBURG, OR 97470
Provider Mailing Address1367 W HARVARD AVE ROSEBURG, OR 97470
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-21-2007
Last Update Date08-21-2007


Primary Taxonomy

Taxonomy Code231H00000X
ClassificationAudiologist
TypeSpeech, Language and Hearing Service Providers
License No.22652
License StateOR
Taxonomy Description(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.

Business Address

AUDIOLOGY CONSULTANTS OF SOUTHERN OREGON, INC.
1367 W HARVARD AVE
ROSEBURG, OR
ZIP 97470
Phone: (541) 672-8868
Fax: (541) 672-1142

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Mailing Address

AUDIOLOGY CONSULTANTS OF SOUTHERN OREGON, INC.
1367 W HARVARD AVE
ROSEBURG, OR
ZIP 97470
Phone: (541) 672-8868
Fax: (541) 672-1142



Authorized Official

Authorized Official NameDR. CARL JEFFREY BERG AU.D.
Authorized Official TitleAUDIOLOGIST/PRESIDENT
Authorized Official Phone(541) 474-4694

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831236686MRS. CAROL DEANE BEACH M.A., CCC-A
Individual
Audiologist-Hearing Aid Fitter1367 W HARVARD AVE
ROSEBURG, OR 97470
(541) 672-8868
1659538007 STEPHANIE ANN BRYANT AU.D.
Individual
Audiologist-Hearing Aid Fitter1367 W HARVARD AVE
ROSEBURG, OR 97470
(541) 672-8868

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.