Hometown Hearing Care

Primary specialty

Assistive Technology Practitioner AudiologistTaxonomy code 231HA2400X

License

AY370 Issued in FL

Legal business name

HOMETOWN HEARING CARE

Practice address

4297 3Rd Ave
Marianna, FL 32446-2136

Phone

(850) 625-3796

NPI assigned

Apr 18, 2018

Organization subpart

No

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

Authorized official

Name

Larry O Otwell, AU.D.

Title

Owner

Phone

(850) 625-3796

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1194212704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4297 3RD AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462136",
            "telephone_number": "850-625-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4297 3RD AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462136",
            "telephone_number": "850-625-3796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 Brickyard Rd",
            "address_purpose": "LOCATION",
            "city": "Chipley",
            "state": "FL",
            "postal_code": "324286303",
            "country_code": "US",
            "telephone_number": "850-625-3796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOMETOWN HEARING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "OTWELL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-625-3796",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "FL",
            "license": "AY370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600237400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jordan Horvath

• Audiologist in Marianna, FL
• Providers in Marianna, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.