Individual provider Active NPI

Michael McGrew

  • Hearing Instrument Specialist
  • Fort Myers, FL
National Provider Identifier
1285084855
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS4780 Issued in FL
Practice address
4600 Summerlin Rd
Unit C-6
Fort Myers, FL 33919-3005
Phone
(239) 703-7546
NPI assigned
Jun 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS4780 FL Primary

Addresses

Primary practice location

4600 Summerlin Rd
Unit C-6
Fort Myers, FL 33919-3005

Mailing address

1108 S State St Unit 108
Bunnell, FL 32110-7402
Phone (386) 313-5911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AS4780FLMDHearing Instrument Specialist

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC Past Accepting new patients
Lifestyle Hearing Corporation USA Inc Hearing Instrument Specialist Past Accepting new patients
Physicians Audiology Service, Inc Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1285084855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 S STATE ST UNIT 108",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321107402",
            "telephone_number": "386-313-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SUMMERLIN RD",
            "address_2": "UNIT C-6",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193005",
            "telephone_number": "239-703-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGREW",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS4780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.