NPIMap

Organization Active NPI

Chesapeake Hearing Centers Inc

  • Audiologist
  • Severna Park, MD
National Provider Identifier
1093850216
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
CHESAPEAKE HEARING CENTERS INC
Practice address
650 Ritchie Hwy Ste 104
Severna Park, MD 21146-3910
Phone
(410) 647-7795
Fax
(410) 315-8823
NPI assigned
Feb 21, 2007
Last updated
Feb 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Mrs. Julie Petruzzi
Title
President
Phone
(410) 647-7795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

650 Ritchie Hwy Ste 104
Severna Park, MD 21146-3910

Mailing address

650 Ritchie Hwy Ste 104
Severna Park, MD 21146-3910
Phone (410) 647-7795

Other identifiers 4

IdentifierTypeStateIssuer
F190OtherBLUE CROSS SHIELD FEDERAL
KW03OtherMDBCBS OF MD
505617OtherAETNA US HEALTHCARE
F190OtherCAREFIRST BLUE CHOICE PRE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050225000294 MD Part B Supplier - Clinic/Group Practice 0840243259 Receives reassigned benefits from 6 practitioners
Practice locations: Columbia, MD; Stevensville, MD; Severna Park, MD; Salisbury, MD; Easton, MD; Ocean Pines, MD; Annapolis, MD

National Provider Directory

National Provider Directory

Locations

8885 Centre Park Dr
Ste A
Columbia, MD 21045
Phone (443) 393-6725

8133 Elliott Rd
#3
Easton, MD 21601
Phone (410) 690-4064

8133 Elliott Rd
Ste 3
Easton, MD 21601
Phone (410) 647-7795

11002 Manklin Meadows Ln
Ste 56
Ocean Pines, MD 21811
Phone (410) 641-8700

11310 Manklin Creek Rd
Ocean Pines, MD 21811
Phone (410) 641-8700

5952 Hubbard Dr
Rockville, MD 20852
Phone (240) 833-3920

1324 Belmont Ave
#202
Salisbury, MD 21804
Phone (410) 546-9552

580 Ritchie Hwy
Ste I
Severna Park, MD 21146
Phone (410) 647-7795

650 Ritchie Hwy
Ste 104
Severna Park, MD 21146
Phone (410) 647-7795

115 Sallitt Dr
#B
Stevensville, MD 21666
Phone (410) 643-9699

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1093850216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 RITCHIE HWY STE 104",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463910",
            "telephone_number": "410-647-7795",
            "fax_number": "410-315-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 RITCHIE HWY STE 104",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463910",
            "telephone_number": "410-647-7795",
            "fax_number": "410-315-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE HEARING CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "PETRUZZI",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-647-7795",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SHIELD FEDERAL",
            "identifier": "F190",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD",
            "identifier": "KW03",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "505617",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CHOICE PRE",
            "identifier": "F190",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.