ENT SURGICAL ASSOC PC NPI 1215191275

NPI Information

  • NPI: 1215191275
  • Provider Name: ENT SURGICAL ASSOC PC
  • Classification: Audiologist-Hearing Aid Fitter - 237600000X
  • Entity Type: Organization
  • Address: 27483 DEQUINDRE RD
    SUITE 201
    MADISON HEIGHTS, MI
    ZIP 48071
  • Phone: (248) 541-0100

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NPI Details

ENT SURGICAL ASSOC PC is an audiologist hearing aid fitter in Madison Heights, MI. The provider is an audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists. ENT SURGICAL ASSOC PC NPI is 1215191275. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

27483 DEQUINDRE RD
SUITE 201
MADISON HEIGHTS, MI
ZIP 48071-711
Phone: (248) 541-0100
Fax: (248) 399-3960

The provider's authorized official is Ilene Miles .
The authorized official title is Administrator and has the following contact phone number (248) 541-1620.

The enumeration date for this NPI number is 7/17/2008 and was last updated on 12/9/2008.

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
1237600000XAudiologist-Hearing Aid FitterYes

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
1640F336900OTHERMICHIGANBLUE CARE NETWORK
2640F336900OTHERMICHIGANBCBSM
34985364MEDICAIDMICHIGAN
44812602MEDICAIDMICHIGAN
5540F336540OTHERMICHIGANBLUE CARE NETWORK
60P13760010MEDICARE PINMICHIGAN
70P13760009MEDICARE PINMICHIGAN
84985391MEDICAIDMICHIGAN
9P13760006MEDICARE PINMICHIGAN
104812649MEDICAIDMICHIGAN
114812620MEDICAIDMICHIGAN
12640F361620OTHERMICHIGANBCBS
134985373MEDICAIDMICHIGAN
14540F336540OTHERMICHIGANBLUE CROSS BLUE SHIELD OF MICHIGAN
155255970MEDICAIDMICHIGAN
164985355MEDICAIDMICHIGAN
174812630MEDICAIDMICHIGAN

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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