GREGORY N WIERSEMA MST-CCC/A NPI 1831195361

NPI Information

  • NPI: 1831195361
  • Provider Name: GREGORY N WIERSEMA, MST-CCC/A
  • Classification: Audiologist - 231H00000X
  • Entity Type: Individual
  • Address: 221 FOND DU LAC AVE
    FOND DU LAC, WI
    ZIP 54935
  • Phone: (920) 923-4678

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NPI Details

Gregory N Wiersema, MST-CCC/A is an audiologist in Fond Du Lac, WI. The provider is (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. Gregory N Wiersema, MST-CCC/A NPI is 1831195361. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

221 FOND DU LAC AVE
FOND DU LAC, WI
ZIP 54935-303
Phone: (920) 923-4678
Fax: (920) 923-4678

The enumeration date for this NPI number is 6/21/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1231H00000XAudiologist55-156WISCONSINYes
2237600000XAudiologist-Hearing Aid Fitter55-156WISCONSINX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
185011MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
241105900MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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