MEDICARE: HEARING HEALTHCARE, 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	692	MD
2	231HA2400X	Assistive Technology Practitioner Audiologist	770	MD
3	231HA2400X	Assistive Technology Practitioner Audiologist	692	MD
4	231HA2500X	Assistive Technology Supplier Audiologist	770	MD
5	231HA2500X	Assistive Technology Supplier Audiologist	692	MD
6	237600000X	Audiologist-Hearing Aid Fitter	770	MD
7	237600000X	Audiologist-Hearing Aid Fitter	692	MD
8	231H00000X	Audiologist	770	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	241011	OTHER	MD	MDIPA GROUP NUMBER
2	116338	OTHER	MD	KAISER PERM. GROUP NUMBER
3	L117HE	OTHER	MD	BCBS OF MD GROUP ID
4	0814417	OTHER	MD	AETNA GROUP NUMBER
5	0814417	OTHER	MD	US HEALTHCARE GROUP NUMBE
6	241011	OTHER	MD	ALLIANCE GROUP NUMBER
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	2042	OTHER	DC	BCBS OF DC GROUP NUMBER
9	241011	OTHER	MD	OPTIMUM CHOICE GROUP NUMB
10	241011	OTHER	MD	MAMSI GROUP NUMBER
11	484823	OTHER	MD	NCPPO GROUP NUMBER
12	L332HE	OTHER	MD	BCBS OF MD ALT. GROUP ID

General Provider Information

NPI Number	:	1942220744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARING HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	3913 FERRARA DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-4709
Country	:	US
Telephone Number	:	301-946-2434
Fax Number	:	301-946-2435

Provider Business Practice Location Address
First Line	:	3913 FERRARA DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-4709
Country	:	US
Telephone Number	:	301-946-2434
Fax Number	:	301-946-2435

Authorized Official
Title or Position	:	DOCTOR OF AUDIOLOGY
Name	:	DR. SUZANNE MARIE NOONAN
Credential	:	AU.D., CCC-A, FAAA
Telephone Number	:	301-946-2434

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	10/19/2011

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Directions to “HEARING HEALTHCARE, INC. ” Practice Location

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