Paige Michelle Pastalove, AU.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AT006156 Issued in PA

Practice address

3509 N Broad St
Philadelphia, PA 19140-4105

Phone

(215) 707-3663

Fax

(215) 707-6417

NPI assigned

Jun 25, 2008

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southside Head N Neck Surgery Professional Corp

  dba Southside Ear, Nose & Throat

  • Otolaryngology Physician
  • Colonial Heights, VA
  • NPI 1194803338
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033371794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-707-3663",
            "fax_number": "215-707-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105",
            "telephone_number": "215-707-3663",
            "fax_number": "215-707-6417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 N Sixth Ave",
            "address_purpose": "LOCATION",
            "city": "Hopewell",
            "state": "VA",
            "postal_code": "238602617",
            "country_code": "US",
            "telephone_number": "804-541-3024",
            "fax_number": "804-452-2176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 N Sixth Ave",
            "address_purpose": "LOCATION",
            "city": "Hopewell",
            "state": "VA",
            "postal_code": "238602617",
            "country_code": "US",
            "telephone_number": "804-541-3024",
            "fax_number": "804-452-2176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASTALOVE",
        "first_name": "PAIGE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001352",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006156",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "2101001621",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194803338",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "362426",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "1194803338",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Passionate Patient Transport & Mobility
• Passport Health Holdings, LLC (Passport Health)
• Mariah Passwaters-Stamper, PA-C
• Passyunk Chiropractic & Rehabilitation
• Passyunk Medical Associates PC
• Adam Seth Pasternack, DO
• Widmayar Pasteur
• Sarah Pastore, LCSW
• Jenna Rose Pastorini, MD
• David Pastuna, DO

• Audiologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Audiologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.