Active NPI
Stephen T Guryan, MA
- Audiologist
- Anderson, SC
National Provider Identifier
1508964131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 647
- Practice address
- 3030 N Highway 81
Anderson, SC 29621-3620 - Phone
- (864) 224-5450
- NPI assigned
- Sep 20, 2006
- 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 | 231H00000X | 647 | SC | Primary |
Addresses
Primary practice location
3030 N Highway 81
Anderson, SC 29621-3620
Mailing address
3030 N Highway 81
Anderson, SC 29621-3620
Phone (864) 224-5450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373282 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1703 Laurel St
Columbia, SC 29201-2660
Phone 50224424205441
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 647 | SC | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360Care LLC | Audiologist | Current | Accepting new patients |
| Clarity, Inc. | Audiologist | Past | Accepting new patients |
Locations
1703 Laurel St
Columbia, SC 29201
Phone 24852821166
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Columbia, SC
- NPI 1619598281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1508964131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 N HIGHWAY 81",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296213620",
"telephone_number": "864-224-5450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 N HIGHWAY 81",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296213620",
"telephone_number": "864-224-5450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURYAN",
"first_name": "STEPHEN",
"middle_name": "T",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373282",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.