Active NPI
Myrita Yvonne Wilhite, AU.D.
- Audiologist
- Cleveland, OH
National Provider Identifier
1609272608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A00654
- Practice address
- 2121 Euclid Ave
MC 430
Cleveland, OH 44115-2214 - Phone
- (216) 687-3808
- Fax
- (216) 687-6993
- NPI assigned
- Nov 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A00654 | OH | Primary |
Addresses
Primary practice location
2121 Euclid Ave
MC 430
Cleveland, OH 44115-2214
Mailing address
2121 Euclid Ave
MC 430
Cleveland, OH 44115-2214
Phone (216) 687-3808
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0408286 | Medicaid | OH | |
| 366525 | Other | OH | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00654 | OH | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416268800000",
"number": "1609272608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 EUCLID AVE",
"address_2": "MC 430",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441152214",
"telephone_number": "216-687-3808",
"fax_number": "216-687-6993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 EUCLID AVE",
"address_2": "MC 430",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441152214",
"telephone_number": "216-687-3808",
"fax_number": "216-687-6993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILHITE",
"first_name": "MYRITA",
"middle_name": "YVONNE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-18",
"last_updated": "2014-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A00654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0408286",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "366525",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.