Active NPI
Devon McIlvaine-Springer, AU.D.
- Audiologist
- Columbus, OH
National Provider Identifier
1003164914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A.01802
- Practice address
- 2667 Quarry Valley Rd
Columbus, OH 43204-4972 - Phone
- (330) 277-1381
- NPI assigned
- Aug 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A.01802 | OH | Primary |
Addresses
Primary practice location
2667 Quarry Valley Rd
Columbus, OH 43204-4972
Mailing address
2667 Quarry Valley Rd
Columbus, OH 43204-4972
Phone (330) 277-1381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1473276 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A.01802 | OH | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568851200000",
"number": "1003164914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2667 QUARRY VALLEY RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432044972",
"telephone_number": "330-277-1381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2667 QUARRY VALLEY RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432044972",
"telephone_number": "330-277-1381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCILVAINE-SPRINGER",
"first_name": "DEVON",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2019-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A.01802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1473276",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.