Jacob Mahan

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS5362 Issued in FL

Practice address

1871 Wells Rd Ste 10
Orange Park, FL 32073-2350

Phone

(904) 579-4814

Fax

(904) 247-4328

NPI assigned

Aug 22, 2018

Last updated

Aug 22, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clear Ear Hearing of Northeast Florida, LLC.

  dba Clear Ear Hearing Systems

  • Hearing Aid Equipment
  • Orange Park, FL
  • NPI 1720472814
  NPD (past)
• Southeastern Hearing Inc.

  dba Clear Ear

  • Hearing Instrument Specialist
  • Jacksonville, FL
  • NPI 1912042136
  NPD (past)
• Southeastern Hearing, Inc

  • Hearing Aid Equipment
  • Jacksonville Beach, FL
  • NPI 1902345085
  NPD (past)

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1427539055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 3RD ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505848",
            "telephone_number": "904-247-4327",
            "fax_number": "904-247-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 WELLS RD STE 10",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732350",
            "telephone_number": "904-579-4814",
            "fax_number": "904-247-4328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9398 Arlington Expy",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322258213",
            "country_code": "US",
            "telephone_number": "904-725-5590",
            "fax_number": "904-559-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHAN",
        "first_name": "JACOB",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ishaan Kambo Madhok
• Khaled R Magdy, M.D.
• Reuben Kyle Maggard, M.D.
• Magnolia Care Services LLC
• Magnolia Springs Counseling, LLC
• Sterling Mahan, H.A.S.
• Ibrahim Magdi Gafar Mahgoub, MD
• Tiffany N Major, APRN
• Yan G Makeyev, MD
• Shilpa Malik, DO

• Hearing Instrument Specialist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.