Ear Nose and Throat Associates of Clarksburg Inc

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

A0032 Issued in WV

Legal business name

EAR NOSE AND THROAT ASSOCIATES OF CLARKSBURG INC

Practice address

125 N 6TH St
Clarksburg, WV 26301-2665

Phone

(304) 622-4397

Fax

(304) 623-4823

NPI assigned

Apr 9, 2007

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cindy B Heath

Title

Supervisor

Phone

(304) 622-4397

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• clarksburg audiology and hearing aid center Other name

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1548383334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N 6TH ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012665",
            "telephone_number": "304-622-4397",
            "fax_number": "304-623-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N 6TH ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012665",
            "telephone_number": "304-622-4397",
            "fax_number": "304-623-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE AND THROAT ASSOCIATES OF CLARKSBURG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "304-622-4397"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WV",
            "license": "A0032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3402009000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "clarksburg audiology and hearing aid center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kevin Durking
• Lorraine Eagle
• Chelsey J Eakle, DPT
• Sam Eakle
• Ear Nose and Throat Assoc of Clarksburg Inc (Clarksburg Audiology and Hearing Aid Center)
• Courtney N Echard
• Isiah Scott Eckenrode
• Shaun Edgell
• Celena Marae Elder
• Chelsea Elliott

• Audiologist-Hearing Aid Fitter in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Audiologist-Hearing Aid Fitter in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.