NPIMap

Organization Active NPI

Lifealoud

  • Hearing and Speech Clinic/Center
  • Myrtle Beach, SC
National Provider Identifier
1295409662
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
LIFEALOUD
Practice address
950 48TH Ave N Ste 101
Myrtle Beach, SC 29577-5434
Phone
(843) 491-9008
Fax
(843) 491-9009
NPI assigned
Aug 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Dr. Jason P. Wigand, AUDNPI 1205247772
Title
Owner, Audiologist
Phone
(614) 202-7508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X
Hearing and Speech Clinic/Center 261QH0700X Primary
Hearing Aid Equipment 332S00000X

Addresses

Primary practice location

950 48TH Ave N Ste 101
Myrtle Beach, SC 29577-5434

Mailing address

950 48TH Ave N Ste 101
Myrtle Beach, SC 29577-5434
Phone (843) 491-9008

Other names 1

  • Beach Audiology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211009000155 SC Part B Supplier - Clinic/Group Practice 0941608681 Receives reassigned benefits from 2 practitioners
Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory

Locations

950 48th Ave N
Ste 203
Myrtle Beach, SC 29577
Phone (843) 438-0283

Practitioners & affiliated clinicians

Practitioners 4

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": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1295409662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 48TH AVE N STE 101",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775434",
            "telephone_number": "843-491-9008",
            "fax_number": "843-491-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 48TH AVE N STE 101",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775434",
            "telephone_number": "843-491-9008",
            "fax_number": "843-491-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEALOUD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "WIGAND",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER, AUDIOLOGIST",
        "authorized_official_telephone_number": "614-202-7508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.