Active NPI
Garrett Mayhugh, AUD
- Audiologist
- Fairfield, OH
National Provider Identifier
1144750910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A02067
- Practice address
- 5380 Pleasant Ave Ste 1B
Fairfield, OH 45014 - Phone
- (513) 863-2938
- Fax
- (513) 785-4023
- NPI assigned
- Jun 14, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A02067 | OH | Primary |
| Audiologist | 231H00000X | AUD004100 | GA |
Addresses
Primary practice location
5380 Pleasant Ave Ste 1B
Fairfield, OH 45014
Mailing address
215 Shuman Blvd Ste 401
Naperville, IL 60563-8123
Phone (630) 303-5380
Other practice location 1
215 Riverstone Dr
Canton, GA 30114-5256
Phone (770) 281-4487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD004100 | GA | MD | Audiologist |
| A02067 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concordia Anesthesiology, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1619296464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1144750910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 SHUMAN BLVD STE 401",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638123",
"telephone_number": "630-303-5380",
"fax_number": "630-303-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5380 PLEASANT AVE STE 1B",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "45014",
"telephone_number": "513-863-2938",
"fax_number": "513-785-4023"
}
],
"practiceLocations": [
{
"address_1": "215 Riverstone Dr",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "GA",
"postal_code": "301145256",
"country_code": "US",
"telephone_number": "770-281-4487",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYHUGH",
"first_name": "GARRETT",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-14",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A02067",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD004100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.