East Orlando Audiology Hearing & Wellness

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

EAST ORLANDO AUDIOLOGY HEARING & WELLNESS

Practice address

11602 Lake Underhill Rd Ste 130
Orlando, FL 32825-4460

Phone

(407) 635-8497

Fax

(407) 627-1680

NPI assigned

Oct 19, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Kyle Clifton, AU.D.NPI 1376957910

Title

Owner

Phone

(407) 635-8497

Specialties & licenses 3

Addresses

Other names 1

• Ascent Audiology & Hearing Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Gregory Kyle Clifton, AU.D.

  • Audiologist
  • Orlando, FL
  • NPI 1376957910
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1457950669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11602 LAKE UNDERHILL RD STE 130",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254460",
            "telephone_number": "407-635-8497",
            "fax_number": "407-627-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 LAKE UNDERHILL RD STE 130",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254460",
            "telephone_number": "407-635-8497",
            "fax_number": "407-627-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ORLANDO AUDIOLOGY HEARING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "CLIFTON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-635-8497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascent Audiology & Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• East Orlando Primary Care P a
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• Audiologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.