RICKEY SAM FAUVOR
RICKEY SAM VETKOS · Hearing Instrument Specialist

Address: 2512 N Stokesberry Pl Ste 102, Meridian, ID 83646-1135

RICKEY SAM FAUVOR (NPI# 1295896835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295896835
Entity Type Individual
Full Name MR. RICKEY SAM FAUVOR
Other Name MR. RICKEY SAM VETKOS (Former Name)
Gender Male
Practice Address 2512 N Stokesberry Pl Ste 102
Meridian
ID 83646-1135
Practice Telephone 2082293238
Practice Fax Number 2088804245
Mailing Address 1939 E Burnside St
Portland
OR 97214-1535
Mailing Telephone 5032336141
Mailing Fax Number 5032332889
Certification Date 2021-01-18
Enumeration Date 2006-12-13
Last Update Date 2021-01-18
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 237700000X Hearing Instrument Specialist HA3089 ID Speech, Language and Hearing Service Providers
N 237700000X Hearing Instrument Specialist HAS-P-916188 OR Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID 82-3793314 MEDICAID
ID INSURANCE 82-3793314 Other

Office Location

Street Address 2512 N STOKESBERRY PL STE 102
City MERIDIAN
State ID
Zip Code 83646-1135

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548859101 Everything Hearing, LLC · Everything Hearing, LLC Clinic/Center · Hearing and Speech 2512 N Stokesberry Pl Ste 102, Meridian, ID 83646-1135 2021-01-18

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1982202743 Jayson Paul Smith · Jason Paul Juhasz Nurse Practitioner · Family 1545 East Leighfield Dr., Meridian, ID 83646 2020-10-14
1356977466 Tanabell Health Services Inc Assisted Living Facility 2584 E Magic View Dr, Meridian, ID 83646 2020-03-20
1801351176 Tanabell Health Services, Inc. · Meridian Meadows Transitional Care Skilled Nursing Facility 2656 E Magicview Dr, Meridian, ID 83646 2019-01-31
1306314323 Cr Smiles - Meridian Dental Care LLC Clinic/Center · Dental 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 2018-11-07
1639644107 Joseph Anomalay Counselor · Addiction (Substance Use Disorder) 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 2018-10-10
1275015950 Mcmillan Family Dental Pllc Clinic/Center · Dental 1720 W. Mcmillan, Meridian, ID 83646 2018-08-30
1609327022 Finding Home Healthcare, Inc. · Finding Home Medical Services Clinic/Center · Multi-Specialty 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 2016-10-20
1952857161 Mitchell Truong Pharmacist 622 E. Ustick Road, Caldwell, ID 83646 2016-08-28
1134511264 Brittany Laub Massage Therapist 2572 N Stokesberry Pl #300, Meridian, ID 83646 2015-02-26
1194117366 Westfall Ventures, Inc Health Maintenance Organization 2572 N. Stokesberry Pl, Meridian, ID 83646 2015-02-25
Find all providers in zip 83646

Taxonomy Information

Taxonomy Code 237700000X
Grouping Speech, Language and Hearing Service Providers
Classification Hearing Instrument Specialist

Taxonomy Definition

Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578191615 Alderson Audiology LLC 943 W Overland Rd # 116, Meridian, ID 83642-6541 2020-04-01
1649819756 Kevin Horne 750 S Progress Ave, Meridian, ID 83642-4821 2020-01-06
1548802796 Kenneth Jake Hammon 2203 Highway 39 N Ste 3, Meridian, MS 39301-2609 2019-10-09
1235603630 Nathan Scott West 3330 N Meridian Rd, Meridian, ID 83646-6065 2019-01-18
1336592732 Gena Paige 2203 Highway 39 N, Suite 3, Meridian, MS 39301-2609 2016-07-20
1306121934 Jesse Dean Aldous 750 S Progress Ave Ste 105, Meridian, ID 83642-4822 2011-10-14
1265729941 Theon Walley 1417 23rd Ave, Meridian, MS 39301-4024 2011-07-01
1447577135 Donald Ray Deardorff 1116 E Grand Canyon St, Meridian, ID 83646-3662 2010-04-21
1356979496 Leslie Milliken 943 W Overland Rd # 116, Meridian, ID 83642-6541 2020-04-01
1528600756 Joseph Whatley Eubanks 2203 Highway 39 N Ste 3, Meridian, MS 39301-2609 2019-10-09
Find all providers in MERIDIAN

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City MERIDIAN
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.