A 2ND Ear
Organization Active NPI Audiologist · Gaithersburg, MD
NPI 1073287553 · NPPES record last updated Aug 26, 2021
Key facts
- NPI
- 1073287553
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Audiologist 231H00000X
- Legal business name
- A 2ND EAR
- Practice address
- 9711 Washingtonian Blvd Ste 550
Gaithersburg, MD 20878-5789 - Phone
- (240) 579-0756
- NPI assigned
- Aug 6, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrea Eleni Liacouras, AU.D., CCC-A
- Title
- Owner & Audiologist
- Phone
- (240) 579-0756
Practitioners 1
-
Andrea Eleni Liacouras, AU.D., CCC-A
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210831000071 | DC | Part B Supplier - Clinic/Group Practice | 6709282718 |
Receives reassigned benefits from 1 practitioner Practice locations: Gaithersburg, MD |
National Provider Directory
Interoperability endpoints
- dr.andrea@a2ndear.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist |
231H00000X | Yes |
Addresses
Primary practice location
9711 Washingtonian Blvd Ste 550
Gaithersburg, MD 20878-5789
Mailing address
15500 Hallman Grove CT
North Potomac, MD 20878-3474
Phone (301) 379-4151
Other names
- A 2nd Ear
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Dr.Andrea@A2ndEar.com |
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.