Michael B. Gilliam

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

Legal business name

MICHAEL B. GILLIAM

Doing business as

Mike Gilliam Hearing Center

Practice address

3101 Kennedy LN
Suite 300
Texarkana, TX 75503-2457

Phone

(903) 832-4327

Fax

(903) 831-2799

NPI assigned

Mar 7, 2014

Last updated

Mar 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Bruce Gilliam

Title

Owner, Dispenser

Phone

(903) 832-4327

Specialties & licenses 1

Addresses

Other names 1

• Mike Gilliam Hearing Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew S. Gilliam

  • Hearing Instrument Specialist
  • Texarkana, TX
  • NPI 1609371657
  NPD (past)
• Justin P. Snow

  • Hearing Instrument Specialist
  • Texarkana, TX
  • NPI 1962907915
  NPD (past)

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1093131534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 KENNEDY LN",
            "address_2": "SUITE 300",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032457",
            "telephone_number": "903-832-4327",
            "fax_number": "903-831-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 KENNEDY LN",
            "address_2": "SUITE 300",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032457",
            "telephone_number": "903-832-4327",
            "fax_number": "903-831-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B. GILLIAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER, DISPENSER",
        "authorized_official_telephone_number": "903-832-4327",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mike Gilliam Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jack Menges Jr., MD
• Mental Health Services of Texarkana PLLC
• Paul D Meredith, MD
• Metx LLC
• Mi Clinica Hispana LLC
• Anthony Richard Michail, D.M.D.
• Joe Michalls, PHARMD
• Mary Lane Mickens
• Kera Delayne Middleton
• Midsouth Homecare PLLC

• Hearing Aid Equipment in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Hearing Aid Equipment in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.