Organization Active NPI

Avada of Central Ohio, Inc.

  • Audiologist
  • Cambridge, OH
National Provider Identifier
1619014537
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A01130 Issued in OH
Legal business name
AVADA OF CENTRAL OHIO, INC.
Practice address
141 S 11TH St
Cambridge, OH 43725-2464
Phone
(740) 439-6647
Fax
(740) 439-9303
NPI assigned
Jan 31, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Stephen D Wilson
Title
Rigional Director
Phone
(740) 439-6647

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A.01557 OH
Audiologist 231H00000X A01130 OH Primary
Audiologist-Hearing Aid Fitter 237600000X 02814 OH
Hearing Instrument Specialist 237700000X 2333 OH

Addresses

Primary practice location

141 S 11TH St
Cambridge, OH 43725-2464

Mailing address

141 S 11TH St
Cambridge, OH 43725-2464
Phone (740) 439-6647

National Provider Directory

National Provider Directory

Locations

141 S 11th St
Cambridge, OH 43725
Phone (740) 439-6647

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1619014537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 S 11TH ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252464",
            "telephone_number": "740-439-6647",
            "fax_number": "740-439-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S 11TH ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252464",
            "telephone_number": "740-439-6647",
            "fax_number": "740-439-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVADA OF CENTRAL OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "RIGIONAL DIRECTOR",
        "authorized_official_telephone_number": "740-439-6647"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.01557",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A01130",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "02814",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "2333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.