Cecil Grey Yeatts III, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601001048 Issued in MI

Practice address

Desmond Doss Health Clinic - Audiology
BLDG 687, 1St Floor
Schofield Barracks, HI 96876

Phone

(808) 433-8326

NPI assigned

Oct 13, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adirondack Audiology Associates, PC

  • Audiologist
  • Saranac Lake, NY
  • NPI 1841365467
  NPD

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1104297449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER AMC",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-2460",
            "fax_number": "808-433-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DESMOND DOSS HEALTH CLINIC - AUDIOLOGY",
            "address_2": "BLDG 687, 1ST FLOOR",
            "city": "SCHOFIELD BARRACKS",
            "state": "HI",
            "postal_code": "96876",
            "telephone_number": "808-433-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEATTS",
        "first_name": "CECIL",
        "middle_name": "GREY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-13",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VT",
            "license": "145.0116325",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0000941",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601001048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul E Whelan, PA-C
• Aimee Williams, RN
• Andrea Suzette Wolfe
• Garrett Grant Wood, D.D.S.
• Michelle Worsley
• Justin Kiyoshi Yoshida, PHARM.D

• Audiologist in Schofield Barracks, HI
• Providers in Schofield Barracks, HI by specialty
• Audiologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.