Individual provider Active NPI

Marshall Logan Porritt, HIS

  • Hearing Instrument Specialist
  • Tampa, FL
National Provider Identifier
1326895897
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS5710 Issued in FL
Practice address
5383 Ehrlich Rd Ste 104
Tampa, FL 33625-5529
Phone
(813) 269-2500
NPI assigned
May 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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 AS5710 FL Primary

Addresses

Primary practice location

5383 Ehrlich Rd Ste 104
Tampa, FL 33625-5529

Mailing address

5383 Ehrlich Rd Ste 104
Tampa, FL 33625-5529
Phone (813) 269-2500

Other practice location 1

7860 Gall Blvd
Zephyrhills, FL 33541-4302
Phone (352) 521-0217

Other practice location 2

16065 Tampa Palms Blvd W
Tampa, FL 33647-2001
Phone (813) 709-7555

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
AS5710FLMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1326895897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5383 EHRLICH RD STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255529",
            "telephone_number": "813-269-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5383 EHRLICH RD STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255529",
            "telephone_number": "813-269-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7860 Gall Blvd",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335414302",
            "country_code": "US",
            "telephone_number": "352-521-0217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16065 Tampa Palms Blvd W",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336472001",
            "country_code": "US",
            "telephone_number": "813-709-7555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORRITT",
        "first_name": "MARSHALL",
        "middle_name": "LOGAN",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.