Organization Active NPI

Advanced Hearing Aid Systems Inc

  • Audiologist-Hearing Aid Fitter
  • Englewood, FL
National Provider Identifier
1225253784
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
400129 Issued in FL
Legal business name
ADVANCED HEARING AID SYSTEMS INC
Practice address
655 S Indiana Ave
Englewood, FL 34223-3705
Phone
(941) 474-8393
Fax
(941) 474-6057
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Mr. Michael Crosby
Title
President
Phone
(941) 474-8393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X 400129 FL Primary

Addresses

Primary practice location

655 S Indiana Ave
Englewood, FL 34223-3705

Mailing address

655 S Indiana Ave
Englewood, FL 34223-3705
Phone (941) 474-8393

Other identifiers 1

IdentifierTypeStateIssuer
J8086OtherFLBCBSFL

Other names 1

  • Michael Crosby, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071009000605 FL Part B Supplier - Clinic/Group Practice 0446345227 Receives reassigned benefits from 4 practitioners
Practice locations: Englewood, FL

National Provider Directory

National Provider Directory

Locations

655 S Indiana Ave
Englewood, FL 34223
Phone (941) 414-8393

Practitioners & affiliated clinicians

Practitioners 5

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1225253784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 S INDIANA AVE",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233705",
            "telephone_number": "941-474-8393",
            "fax_number": "941-474-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S INDIANA AVE",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233705",
            "telephone_number": "941-474-8393",
            "fax_number": "941-474-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEARING AID SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-474-8393",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "400129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "J8086",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Crosby, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.