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FAYETTEVILLE OTOLARYNGOLOGY HEAD AND NECK SURGERY PA NPI 1659578474


NPI Information

NPI: 1659578474
Provider Name: FAYETTEVILLE OTOLARYNGOLOGY HEAD AND NECK SURGERY PA
Classification: Audiologist-Hearing Aid Fitter - 237600000X
Entity Type: Organization

CLIA Number: 34D2228935

Address:
1839 QUIET CV
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 323-1463
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FAYETTEVILLE OTOLARYNGOLOGY HEAD AND NECK SURGERY PA is an audiologist hearing aid fitter in Fayetteville, NC. 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. FAYETTEVILLE OTOLARYNGOLOGY HEAD AND NECK SURGERY PA NPI is 1659578474. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1839 QUIET CV
FAYETTEVILLE, NC
ZIP 28304-857
Phone: (910) 323-1463
Fax: (910) 323-1575

The provider's authorized official is Gwendolyn C Parks .
The authorized official title is Administrator and has the following contact phone number (910) 323-1463.

The CLIA number assigned to this NPI record is 34D2228935 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2007 and was last updated on 1/12/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1231H00000XAudiologistNo
2237600000XAudiologist-Hearing Aid FitterYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.