Organization Active NPI

Medical Gardens Hearing Center, Inc.

  • Audiologist
  • Venice, FL
National Provider Identifier
1285969212
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY197 Issued in FL
Legal business name
MEDICAL GARDENS HEARING CENTER, INC.
Practice address
105 San Marco Dr
Venice, FL 34285-3230
Phone
(941) 485-4592
Fax
(941) 485-0703
NPI assigned
Oct 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Authorized official

Name
Dr. Barbara Gaunt-Jaehne, AUD
Title
President
Phone
(941) 485-4592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X AY197 FL Primary

Addresses

Primary practice location

105 San Marco Dr
Venice, FL 34285-3230

Mailing address

105 San Marco Dr
Venice, FL 34285-3230
Phone (941) 485-4592

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120424000113 FL Part B Supplier - Clinic/Group Practice 9739341546 Receives reassigned benefits from 2 practitioners
Practice locations: Englewood, FL; Venice, FL

National Provider Directory

National Provider Directory

Locations

370 W Dearborn St
Englewood, FL 34223

370 W Dearborn St
Ste C
Englewood, FL 34223
Phone (941) 474-8733

5900 Pan American Blvd
Unit 102
North Port, FL 34287
Phone (941) 423-7900

105 San Marco Dr
Venice, FL 34285
Phone (941) 474-8733

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1285969212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SAN MARCO DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853230",
            "telephone_number": "941-485-4592",
            "fax_number": "941-485-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SAN MARCO DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853230",
            "telephone_number": "941-485-4592",
            "fax_number": "941-485-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GARDENS HEARING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "GAUNT-JAEHNE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-485-4592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.