Active NPI
Michael W Irby, AUD
- Audiologist-Hearing Aid Fitter
- Yukon, OK
National Provider Identifier
1316279219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 272
- Practice address
- 432 S Mustang Rd
Suite B
Yukon, OK 73099-7312 - Phone
- (405) 265-1133
- Fax
- (405) 265-1144
- NPI assigned
- Feb 3, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 272 | OK | Primary |
Addresses
Primary practice location
432 S Mustang Rd
Suite B
Yukon, OK 73099-7312
Mailing address
432 S Mustang Rd
Suite B
Yukon, OK 73099-7312
Phone (405) 265-1133
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272 | OK | MD | Sports Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1316279219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 S MUSTANG RD",
"address_2": "SUITE B",
"city": "YUKON",
"state": "OK",
"postal_code": "730997312",
"telephone_number": "405-265-1133",
"fax_number": "405-265-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 S MUSTANG RD",
"address_2": "SUITE B",
"city": "YUKON",
"state": "OK",
"postal_code": "730997312",
"telephone_number": "405-265-1133",
"fax_number": "405-265-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRBY",
"first_name": "MICHAEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-03",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "OK",
"license": "272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.