Shoals Hearing Clinic, P.C.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

587-A Issued in AL

Legal business name

SHOALS HEARING CLINIC, P.C.

Practice address

433 N Pine St
Florence, AL 35630-4654

Phone

(256) 740-8383

Fax

(256) 740-8386

NPI assigned

Mar 22, 2007

Last updated

Oct 26, 2016By 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

Dr. Richard Lee Gresham, AU.D.NPI 1861509705

Title

President

Phone

(256) 740-8383

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

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.

• Richard Lee Gresham, AU.D.

  • Audiologist
  • Florence, AL
  • NPI 1861509705
  Authorized official Same address or phone
• Hollie Boyer Green, AU.D.

  • Audiologist
  • Florence, AL
  • NPI 1326759663
  NPD

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1568589034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N PINE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304654",
            "telephone_number": "256-740-8383",
            "fax_number": "256-740-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N PINE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304654",
            "telephone_number": "256-740-8383",
            "fax_number": "256-740-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALS HEARING CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "GRESHAM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-740-8383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "587-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009905080",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529901740",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009907280",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shoals Neurology Clinic PC
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• Shoals Orthopedics and Sports Medicine

• Audiologist in Florence, AL
• Providers in Florence, AL by specialty
• Audiologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.