Suburban Hearing Clinic, Inc.

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

License

3501005129 Issued in MI

Legal business name

SUBURBAN HEARING CLINIC, INC.

Practice address

20 W Clarkston Rd
Lake Orion, MI 48362-2972

Phone

(248) 845-4714

Fax

(248) 282-4280

NPI assigned

Sep 9, 2015

Last updated

Sep 9, 2015By 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

Mr. Adam KettlewellNPI 1194196048

Title

President

Phone

(248) 845-4714

Specialties & licenses 1

Addresses

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.

• Adam Kettlewell

  • Hearing Instrument Specialist
  • Lake Orion, MI
  • NPI 1194196048
  NPD (past) Authorized official

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1598133456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W CLARKSTON RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483622972",
            "telephone_number": "248-845-4714",
            "fax_number": "248-282-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W CLARKSTON RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483622972",
            "telephone_number": "248-845-4714",
            "fax_number": "248-282-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN HEARING CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "KETTLEWELL",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-845-4714",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "MI",
            "license": "3501005129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Stacioni Saito, MD
• Heike Steib
• Lynne Carnahan Stevens, MA, LLP
• Amanda Stinson, COTAL
• Mary Stirnemann
• Michael Preston Sumbur, L.M.S.W.
• Travis L Summerville, M.P.T.
• Sunil K. Das MD PC (Orion Pediatrics)
• Susan S Barnes, D.O., P.C.
• SVS Vision Inc

• Hearing Aid Equipment in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Hearing Aid Equipment in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.