Pamala Dawn Mize, M.S. CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201000232 Issued in VA

Practice address

360 Virginia Ave
Wytheville, VA 24382-1185

Phone

(276) 620-3546

Fax

(276) 228-3546

NPI assigned

Feb 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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

• Pamala D. Mize, M.S. CCC-a

  • Audiologist
  • Wytheville, VA
  • NPI 1053504258
  NPD (past) Authorized official

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1043354301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 W PINE ST",
            "address_2": "# 103",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821954",
            "telephone_number": "276-620-3546",
            "fax_number": "276-228-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 VIRGINIA AVE",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821185",
            "telephone_number": "276-620-3546",
            "fax_number": "276-228-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZE",
        "first_name": "PAMALA",
        "middle_name": "DAWN",
        "name_prefix": "Prof.",
        "credential": "M.S. CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FUNDS (UMWA)  AUDIOLOGY",
            "identifier": "1518125",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS   AUDIOLOGY",
            "identifier": "171991",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9450688",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Meyer, MSW, LCSW
• Mikes Best Practices Pharmacy LLC
• Etthan Charles Miller
• Karen Moore Miller
• Robin Fasano Mills
• Rachel Lindsey Montgomery, LPC
• Chimer D Moore Jr., M.D.
• Susan U Moore, CFNP
• Norman Paul Morin II, MD
• Katherine Ashley Morris, FNP-BC

• Audiologist in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.