Provider Demographics
NPI:1598933988
Name:HEARING HEALTHCARE ASSOCIATES
Entity Type:Organization
Organization Name:HEARING HEALTHCARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCAFFETTA
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:918-451-3277
Mailing Address - Street 1:2017 S ELM PL
Mailing Address - Street 2:STE. 107
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-7034
Mailing Address - Country:US
Mailing Address - Phone:918-451-3277
Mailing Address - Fax:918-455-3891
Practice Address - Street 1:2017 S ELM PL
Practice Address - Street 2:STE. 107
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-7034
Practice Address - Country:US
Practice Address - Phone:918-451-3277
Practice Address - Fax:918-455-3891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK267231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK448825261002OtherBLUE CROSS BLUE SHIELD