Edmund Deforest Sugzdinis I, HEARING INSTRUMENT S

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS9491 Issued in FL

Practice address

439 North St Ste D
Green Cove Springs, FL 32043-2901

Phone

(904) 805-3869

Fax

(904) 805-3869

NPI assigned

Oct 19, 2017

Last updated

Oct 19, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Ned Sugzdinis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1255842076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 QUAKER RIDGE DR",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320438089",
            "telephone_number": "302-229-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 NORTH ST STE D",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320432901",
            "telephone_number": "904-805-3869",
            "fax_number": "904-805-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGZDINIS",
        "first_name": "EDMUND",
        "middle_name": "DEFOREST",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "HEARING INSTRUMENT S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS9491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NED",
            "last_name": "SUGZDINIS",
            "prefix": "MR.",
            "credential": "AS5319",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Hearing Instrument Specialist in Green Cove Springs, FL
• Providers in Green Cove Springs, FL by specialty
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.