East Tennessee Hearing Center

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

A000000041 Issued in TN

Legal business name

EAST TENNESSEE HEARING CENTER

Practice address

112 E Myrtle Ave
Suite 504
Johnson City, TN 37601-8600

Phone

(423) 928-2885

Fax

(423) 928-2885

NPI assigned

Apr 16, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Lee Bagwell, M.A., CCC-A

Title

Audiologist

Phone

(423) 928-2885

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Meredith Lynne Miller

  • Audiologist-Hearing Aid Fitter
  • Johnson City, TN
  • NPI 1073991220
  NPD (past)

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1194082099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E MYRTLE AVE",
            "address_2": "SUITE 504",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376018600",
            "telephone_number": "423-928-2885",
            "fax_number": "423-928-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E MYRTLE AVE",
            "address_2": "SUITE 504",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376018600",
            "telephone_number": "423-928-2885",
            "fax_number": "423-928-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE HEARING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "BAGWELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "423-928-2885",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-A"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "TN",
            "license": "A000000041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Tennessee Ambulatory Surgery Center LLC
• East Tennessee Anesthesia Services, PLLC
• East Tennessee Anesthesia Services. LLC
• East Tennessee Brain & Spine Center, PC
• East Tennessee Family Care LLC
• East Tennessee Hematology-Oncology Assoc (McLeod Cancer and Blood Center Pharmacy)
• East Tennessee Hematology/Oncology Assoc P.C.
• East Tennessee Medical and Surgical Dermatology
• East Tennessee Medical Associates, P.C.
• East Tennessee Neuropathy, PC

• Hearing and Speech Clinic/Center in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Hearing and Speech Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.