Active NPI
Avada of Central Ohio, Inc.
- Audiologist
- Cambridge, OH
National Provider Identifier
1619014537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A01130
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.