Superior Olive Audiology Services LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000138 Issued in MI

Legal business name

SUPERIOR OLIVE AUDIOLOGY SERVICES LLC

Doing business as

Ascent Audiology and Hearing Canton

Practice address

4195 Old Canton Center Rd
Canton, MI 48188

Phone

(734) 398-5724

Fax

(734) 398-5734

NPI assigned

Jul 24, 2015

Organization subpart

No

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

Authorized official

Name

Marie L Rowe, AUDNPI 1457507162

Title

Owner

Phone

(734) 398-5724

Specialties & licenses 1

Addresses

Other names 1

• ASCENT AUDIOLOGY AND HEARING CANTON Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marie L Rowe

  • Audiologist-Hearing Aid Fitter
  • Canton, MI
  • NPI 1457507162
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1538544101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 OLD CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48188",
            "telephone_number": "734-398-5724",
            "fax_number": "734-398-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 OLD CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48188",
            "telephone_number": "734-398-5724",
            "fax_number": "734-398-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR OLIVE AUDIOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-398-5724",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASCENT AUDIOLOGY AND HEARING CANTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Audiologist in Canton, MI
• Providers in Canton, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.