NPIMap

Organization Active NPI

Hearing and Balance Centers of the Chesapeake LLC

  • Otolaryngology Physician
  • Bowie, MD
National Provider Identifier
1194219899
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
HEARING AND BALANCE CENTERS OF THE CHESAPEAKE LLC
Practice address
4000 Mitchellville Rd Ste A410
Bowie, MD 20716-3141
Phone
(301) 860-0985
NPI assigned
Jun 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Authorized official

Name
Shelly Waltimyer
Title
Office Manager
Phone
(301) 860-0985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

4000 Mitchellville Rd Ste A410
Bowie, MD 20716-3141

Mailing address

4000 Mitchellville Rd Ste A414
Bowie, MD 20716-3142
Phone (301) 860-0985

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1194219899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD STE A414",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163142",
            "telephone_number": "301-860-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD STE A410",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163141",
            "telephone_number": "301-860-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING AND BALANCE CENTERS OF THE CHESAPEAKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "WALTIMYER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-860-0985"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.