Active NPI
Mary E Markovich
- Audiologist-Hearing Aid Fitter
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 1601000439
- Practice address
- 21000 E 12 Mile Rd
Ste 111
Saint Clair Shores, MI 48081-1116 - Phone
- (586) 779-7610
- Fax
- (586) 445-2523
- NPI assigned
- Jun 26, 2008
- 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-Hearing Aid Fitter | 237600000X | 1601000439 | MI | Primary |
Addresses
Primary practice location
21000 E 12 Mile Rd
Ste 111
Saint Clair Shores, MI 48081-1116
Mailing address
21000 E 12 Mile Rd
Ste 111
Saint Clair Shores, MI 48081-1116
Phone (586) 779-7610
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0E06192 | Other | BLUE SHIELD | |
| 0E01107 | Other | MI | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
870 State Farm Rd
Suite 101
Boone, NC 28607-4862
Phone (828) 264-4545
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.31 of 100
- Quality
- 91.3
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1601000439 | MI | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Ear, Nose and Throat, Inc. | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Past | Accepting new patients | |
| Lakeshore Ear Nose and Throat Center PC | Past | Accepting new patients |
Locations
870 State Farm Rd
Ste 101
Boone, NC 28607
Phone (828) 264-4545
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Boone, NC
- NPI 1285846493
-
- Otolaryngology Physician
- Saint Clair Shores, MI
- NPI 1033202023
-
dba St John Hospital and Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229990400000",
"number": "1073775599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21000 E 12 MILE RD",
"address_2": "STE 111",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480811116",
"telephone_number": "586-779-7610",
"fax_number": "586-445-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21000 E 12 MILE RD",
"address_2": "STE 111",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480811116",
"telephone_number": "586-779-7610",
"fax_number": "586-445-2523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKOVICH",
"first_name": "MARY",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2008-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MI",
"license": "1601000439",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0E06192",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0E01107",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.