Portage Lakes Hearing Center Inc

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

PORTAGE LAKES HEARING CENTER INC

Practice address

2800 S Arlington Rd Ste 102
Coventry Township, OH 44312-4702

Phone

(330) 644-1932

NPI assigned

Apr 2, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Kaylee Patton, AU.D.NPI 1386204907

Title

President/Doctor of Audiology

Phone

(330) 608-1719

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

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

• Kaylee J Patton

  • Audiologist
  • Coventry Township, OH
  • NPI 1386204907
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1245034016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S ARLINGTON RD STE 102",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443124702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S ARLINGTON RD STE 102",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443124702",
            "telephone_number": "330-644-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE LAKES HEARING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "KAYLEE",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR OF AUDIOLOGY",
        "authorized_official_telephone_number": "330-608-1719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waunnetta R Pennington
• Darryl Wayne Perry, APS.005849
• Amy C Phillips, RN
• Jennifer Lynn Plazo
• Eric William Poe
• Pure Hydration & Wellness LLC
• Ravenz Transportation
• Ravenz Transportation
• Ashley Marie Reese, RN
• Janet Reiff, PRS

• Audiologist in Coventry Township, OH
• Providers in Coventry Township, OH by specialty
• Audiologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.