Organization Active NPI

Midland Hearing Associates

  • Audiologist
  • Columbia, SC
National Provider Identifier
1568587715
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
MIDLAND HEARING ASSOCIATES
Practice address
3 Richland Medical Park Dr
Suite130
Columbia, SC 29203-6849
Phone
(803) 765-1919
Fax
(803) 771-9084
NPI assigned
Mar 20, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Mrs. Melissa Todd
Title
Office Manger
Phone
(803) 765-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

3 Richland Medical Park Dr
Suite130
Columbia, SC 29203-6849

Mailing address

1 Wellness Blvd
Suite108
Irmo, SC 29063-2871
Phone (803) 765-1919

Other identifiers 1

IdentifierTypeStateIssuer
GP0844MedicaidSC

National Provider Directory

National Provider Directory

Locations

3 Richland Medical Park Dr
Ste 130
Columbia, SC 29203
Phone (803) 744-7770

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1568587715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WELLNESS BLVD",
            "address_2": "SUITE108",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632871",
            "telephone_number": "803-765-1919",
            "fax_number": "803-749-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RICHLAND MEDICAL PARK DR",
            "address_2": "SUITE130",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036849",
            "telephone_number": "803-765-1919",
            "fax_number": "803-771-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND HEARING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "803-765-1919",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0844",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.