NPI 1104260983 · live from the CMS NPI Registry
Audiology Distribution
Audiologist in Grove City, OH. National Provider Identifier 1104260983, active.
NPI record
| NPI | 1104260983 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 4024 Parkmead, Grove City, OH 43123 |
| Practice phone | 614-801-9164 |
| Mailing address | 10455 Riverside Dr, Palm Beach Gardens, FL 33410 |
| Enumerated | April 23, 2013 |
| Last updated | April 23, 2013 |
| Authorized official | Lillian Morales, Contracting Manager |
| Other names | Hearusa |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 03102 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.