Space Coast Hearing and Balance, Inc.

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

SPACE COAST HEARING AND BALANCE, INC.

Practice address

1344 S Apollo Blvd Ste 301
Melbourne, FL 32901-3185

Phone

(321) 309-2806

Fax

(321) 308-4020

NPI assigned

Sep 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Maija Marta Sweeney, AU.D.NPI 1366583239

Title

Owner

Phone

(321) 309-2806

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maija Sweeney, AU.D.

  • Audiologist
  • Melbourne, FL
  • NPI 1366583239
  Medicare reassignment Care Compare group NPD Authorized official
• Linnette Luna, AU.D

  • Audiologist
  • Melbourne, FL
  • NPI 1114754116
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1033469150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 S APOLLO BLVD STE 301",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013185",
            "telephone_number": "321-309-2806",
            "fax_number": "321-308-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 S APOLLO BLVD STE 301",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013185",
            "telephone_number": "321-309-2806",
            "fax_number": "321-308-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPACE COAST HEARING AND BALANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "MAIJA",
        "authorized_official_middle_name": "MARTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-309-2806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Space Coast Discovery, Inc.
• Space Coast Ear Nose and Throat Associates
• Space Coast Health and Wellness LLC
• Space Coast Health Care Network
• Space Coast Health Care Services
• Space Coast Nephrology Associates, PLLC
• Space Coast Neuropsychology Center Inc
• Space Coast Pathologists PA
• Space Coast Pathologists PA
• Space Coast Sleep Disorders Center LLC

• All providers in Melbourne, FL
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.