Provider Demographics
NPI:1255459376
Name:FAMILY AUDIOLOGY ASSOCIATES, INC.
Entity type:Organization
Organization Name:FAMILY AUDIOLOGY ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:419-584-2255
Mailing Address - Street 1:950 S MAIN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CELINA
Mailing Address - State:OH
Mailing Address - Zip Code:45822-2479
Mailing Address - Country:US
Mailing Address - Phone:419-584-2255
Mailing Address - Fax:
Practice Address - Street 1:950 S MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:CELINA
Practice Address - State:OH
Practice Address - Zip Code:45822-2479
Practice Address - Country:US
Practice Address - Phone:419-584-2255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH26976422600OtherDR. HUNTER BWC #
OH2527279OtherBCMH
OH269764226003OtherDR. HUNTER SUPERMED CELIN
OH28656621300OtherDR. MEIRING BWC #
OH000000368275OtherDR. HUNTER ANTHEM
OH286566213002OtherDR. MEIRING SUPERMED SM
OH269764226004OtherDR. HUNTER SUPERMED SM
OH2527279Medicaid
OH000000364926OtherDR. MEIRING ANTHEM
OH286566213001OtherDR. MEIRING SUPERMED CELI
OHP00288103OtherDR. MEIRING RR MEDICARE
OH=========00OtherBWC GROUP #
OHHU4149151Medicare PIN
OHME4149161Medicare PIN
OHFA9349711Medicare PIN
OH=========00OtherBWC GROUP #
OH286566213002OtherDR. MEIRING SUPERMED SM
OH2527279OtherBCMH
OHQ31861Medicare UPIN
OHY24436Medicare ID - Type UnspecifiedMEDICARE GROUP UPIN