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Active NPI 1720004419 Individual Practitioner Male Practitioner

Randy Lyman Bishop , MS

Audiologist • Pocatello, ID

Professional Overview & Biography Verified Profile Summary

Randy Bishop, MS is a registered healthcare professional specializing in Audiologist in Pocatello, ID. Practice services are available at 650 MEDICAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

650 Medical Dr
#68

Pocatello, ID 832090001

Telephone 2082824034
Fax 2082824571

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Pocatello, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
15 Specialists

Practicing in Pocatello, ID (124 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

State License ID AUD 1225

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross
AU 761 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Jody O'donnell

Speech-Language Pathologist

NPI 1134411770
Janene Willer , MA, CCC-SLP

Speech-Language Pathologist

NPI 1447328901

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1457502288

Master of Science, CCCA

NPI 1548548589

Doctor of Audiology

Sarah Knudson , MS, CCC-SLP

Speech-Language Pathologist

NPI 1669549879

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1699869354

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 650 MEDICAL DR, #68, POCATELLO, ID 832090001 (Tel: 2082824034)

📍
Updated Business Mailing Address July 08, 2007

Registered at 650 MEDICAL DR, #68, POCATELLO, ID 832090001 (Tel: 2082824034)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RANDY BISHOP, M.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Audiologist (License #AUD 1225 in ID)

🟢
Initial NPI Registration & Enumeration July 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1720004419
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

650 Medical Dr, #68

Pocatello, ID 832090001

Phone: 2082824034

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.