Active NPI
Mark M McOmie, AU.D
- Audiologist
- Salt Lake City, UT
National Provider Identifier
1275925752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Hearing LLC | Audiologist | Current | 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.
-
- Audiologist
- Salt Lake City, UT
- NPI 1417539172
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.