Individual provider Active NPI

Myles Devoe Alexandrius Marion, AU.D.

  • Audiologist
  • Timonium, MD
National Provider Identifier
1083456115
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01675 Issued in MD
Practice address
1813 York Rd Ste B
Timonium, MD 21093-5155
Phone
(410) 321-7960
Fax
(410) 702-4660
NPI assigned
Jun 10, 2024
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01675 MD Primary

Addresses

Primary practice location

1813 York Rd Ste B
Timonium, MD 21093-5155

Mailing address

1813 York Rd Ste B
Timonium, MD 21093-5155
Phone (410) 321-7960

Other practice location 1

4000 Annapolis Rd Ste 202
Baltimore, MD 21227-3655
Phone (410) 789-8494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240617002892 MD Practitioner - Qualified Audiologist 4587107743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aanda Hearing Group LLCGroup PAC ID 1456493543, 24 clinicians

Practice addresses (Care Compare)

1813 York Rd
Suite B
Timonium, MD 21093-5155
Phone (410) 321-7960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A&a Hearing Group, LLC Audiologist Current Accepting new patients
A&a Hearing Group, LLC Audiologist CurrentSince Jun 10, 2024 Accepting new patients
A&a Hearing Group, LLC CurrentSince Jun 10, 2024 Accepting new patients
A&a Hearing Group, LLC Audiologist Past Accepting new patients
A&a Hearing Group, LLC Audiologist Past Accepting new patients

Locations

5100 Buckeystown Pike
Ste 285
Frederick, MD 21704
Phone (301) 846-0222

18310 Montgomery Village Ave
Ste 520
Gaithersburg, MD 20879
Phone (301) 977-6317

4000 Annapolis Rd
Ste 202
Halethorpe, MD 21227
Phone (410) 636-9999

1813 York Rd
Ste B
Timonium, MD 21093
Phone (410) 321-7960

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1083456115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 YORK RD STE B",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210935155",
            "telephone_number": "410-321-7960",
            "fax_number": "410-702-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 YORK RD STE B",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210935155",
            "telephone_number": "410-321-7960",
            "fax_number": "410-702-4660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Annapolis Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212273655",
            "country_code": "US",
            "telephone_number": "410-789-8494",
            "fax_number": "410-789-8495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARION",
        "first_name": "MYLES",
        "middle_name": "DEVOE ALEXANDRIUS",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.

Verify at the official NPI Registry.