Individual provider Active NPI

Mark M McOmie, AU.D

  • Audiologist
  • Salt Lake City, UT
National Provider Identifier
1275925752
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
140 W 2100 S Ste 120
Salt Lake City, UT 84115-1855
Phone
(801) 484-3277
Fax
(801) 666-2027
NPI assigned
Feb 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 2

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

Addresses

Primary practice location

140 W 2100 S Ste 120
Salt Lake City, UT 84115-1855

Mailing address

140 W 2100 S Ste 120
Salt Lake City, UT 84115-1855
Phone (801) 484-3277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220411001053 UT Practitioner - Qualified Audiologist 3274929781 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Hearing LLC Audiologist CurrentSince Jul 1, 2024 Accepting new patients

Locations

140 W 2100 S
Ste 120
Salt Lake City, UT 84115
Phone (801) 484-3277

Networks

  • UT PPO

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1275925752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 2100 S STE 120",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841151855",
            "telephone_number": "801-484-3277",
            "fax_number": "801-666-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W 2100 S STE 120",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841151855",
            "telephone_number": "801-484-3277",
            "fax_number": "801-666-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCOMIE",
        "first_name": "MARK",
        "middle_name": "M",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-20",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.