Countryside Hearing Aid Services, Inc

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS3091 Issued in FL

Legal business name

COUNTRYSIDE HEARING AID SERVICES, INC

Practice address

25829 US Highway 19 N
Clearwater, FL 33763-2034

Phone

(727) 796-1161

Fax

(727) 796-1249

NPI assigned

Jan 31, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Laurie Lynn Mitchell

Title

Owner/Vice President

Phone

(727) 796-1161

Specialties & licenses 1

Addresses

Other names 1

• Mitchell Hearing Consultants, Inc Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Mitchell

  • Hearing Instrument Specialist
  • Clearwater, FL
  • NPI 1801333620
  NPD (past)

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1124565940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25829 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337632034",
            "telephone_number": "727-796-1161",
            "fax_number": "727-796-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25829 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337632034",
            "telephone_number": "727-796-1161",
            "fax_number": "727-796-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYSIDE HEARING AID SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "727-796-1161",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS3091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell Hearing Consultants, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Hearing Instrument Specialist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.