Individual provider Active NPI

Michael T Deyarman, HIS

  • Hearing Instrument Specialist
  • Sylvania, OH
National Provider Identifier
1467706556
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2902 Issued in OH
Practice address
6600 Sylvania Ave Ste 17
Sylvania, OH 43560-3937
Phone
(419) 517-7794
Fax
(419) 967-6935
NPI assigned
Oct 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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 2902 OH Primary

Addresses

Primary practice location

6600 Sylvania Ave Ste 17
Sylvania, OH 43560-3937

Mailing address

6600 Sylvania Ave Ste 17
Sylvania, OH 43560-3937
Phone (419) 517-7794

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
2902OHMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1467706556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 SYLVANIA AVE STE 17",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435603937",
            "telephone_number": "419-517-7794",
            "fax_number": "419-967-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 SYLVANIA AVE STE 17",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435603937",
            "telephone_number": "419-517-7794",
            "fax_number": "419-967-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYARMAN",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "2902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.