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Deactivated NPI 1518146885 Deactivated / Inactive NPI Male Practitioner

K Roger Smith , MA CCCA

Audiologist • Muskegon, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, K Roger Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 02, 2007
NPI Deactivation Date October 17, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

K Roger Smith, MA CCCA was a registered Audiologist practicing in Muskegon, MI. Throughout an active medical career spanning 15 years, K Roger Smith provided care at the practice location at 1155E SHERMAN BLVD until profile deactivation on 2022-10-17.

Practice Location & Contact Primary Location

Practice Address

1155e Sherman Blvd

Muskegon, MI 49444

Telephone 2317370527
Fax 2317334093
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Muskegon, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.5 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Muskegon, MI (709 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 MI 1601000095

(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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1508036989

MACCCA

Thomas Bell

Hearing Instrument Specialist

NPI 1588819130

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 17, 2022

Record deactivated on October 17, 2022

NPI Profile Active November 02, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 02, 2007

Registered at 1155E SHERMAN BLVD, MUSKEGON, MI 49444 (Tel: 2317370527)

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Updated Business Mailing Address November 02, 2007

Registered at 1155E SHERMAN BLVD, MUSKEGON, MI 49444 (Tel: 2317370527)

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Provider Name / Credentials Updated November 02, 2007

Recorded as K ROGER SMITH, MA CCCA

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2007

Audiologist (License #1601000095 in MI)

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Initial NPI Registration & Enumeration November 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1518146885
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2007
Last Update: November 02, 2007
Deactivation Date: October 17, 2022

Mailing Address

1155e Sherman Blvd

Muskegon, MI 49444

Phone: 2317370527

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

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