Individual provider Active NPI

Gail Joan Stoddart

  • Audiologist
  • Southfield, MI
National Provider Identifier
1215105598
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000180 Issued in MI
Practice address
29201 Telegraph Rd Ste 500
Southfield, MI 48034-7648
Phone
(248) 569-5985
Fax
(248) 569-3704
NPI assigned
Feb 20, 2008
Last updated
Feb 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000180 MI Primary
Audiologist-Hearing Aid Fitter 237600000X 1601000180 MI

Addresses

Primary practice location

29201 Telegraph Rd Ste 500
Southfield, MI 48034-7648

Mailing address

29201 Telegraph Rd Ste 500
Southfield, MI 48034-7648
Phone (248) 569-5985

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

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1215105598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 500",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347648",
            "telephone_number": "248-569-5985",
            "fax_number": "248-569-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 500",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347648",
            "telephone_number": "248-569-5985",
            "fax_number": "248-569-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDART",
        "first_name": "GAIL",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000180",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.