MEDICARE: FORT WAYNE HEARING CENTER & AUDIOLOGY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	23001870A	IN
2	231HA2400X	Assistive Technology Practitioner Audiologist	23001870A	IN
3	231HA2500X	Assistive Technology Supplier Audiologist	23001870A	IN
4	237600000X	Audiologist-Hearing Aid Fitter	23001870A	IN

General Provider Information

NPI Number	:	1730130741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORT WAYNE HEARING CENTER & AUDIOLOGY, INC.

Provider Business Mailing Address
First Line	:	9131 LIMA RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46818-1803
Country	:	US
Telephone Number	:	260-489-2693
Fax Number	:	260-489-1495

Provider Business Practice Location Address
First Line	:	9131 LIMA RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46818-1803
Country	:	US
Telephone Number	:	260-489-2693
Fax Number	:	260-489-1495

Authorized Official
Title or Position	:	AUDIOLOGIST
Name	:	MRS. DEBORAH ELLEN FALSTER
Credential	:	M.A., CCC-A
Telephone Number	:	260-489-2693

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	09/11/2025

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