Provider Demographics
NPI:1427147198
Name:HEARING HEALTH ASSOCIATES, PC
Entity type:Organization
Organization Name:HEARING HEALTH ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:R
Authorized Official - Last Name:CAMERON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:540-774-4441
Mailing Address - Street 1:2155 ELECTRIC RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-2302
Mailing Address - Country:US
Mailing Address - Phone:540-774-4441
Mailing Address - Fax:540-774-3393
Practice Address - Street 1:2155 ELECTRIC RD
Practice Address - Street 2:SUITE C
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-2302
Practice Address - Country:US
Practice Address - Phone:540-774-4441
Practice Address - Fax:540-774-3393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA451104OtherGROUP ANTHEM #
VA451104OtherGROUP ANTHEM #