Active NPI
George C Chamberlain, HAS
- Hearing Instrument Specialist
- Venice, FL
National Provider Identifier
1629444013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS 5094
- Practice address
- 836 Pinebrook Rd Ste D5
Venice, FL 34285 - Phone
- (941) 486-9300
- Fax
- (941) 480-0182
- NPI assigned
- Aug 19, 2015
- Last updated
- May 21, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS 5094 | FL | Primary |
Addresses
Primary practice location
836 Pinebrook Rd Ste D5
Venice, FL 34285
Mailing address
215 Shuman Blvd Ste 401
Naperville, IL 60563-8123
Phone (630) 303-5380
Other practice location 1
14800 Tamiami Trl
North Port, FL 34287-2701
Phone (941) 423-5884
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 |
|---|---|---|---|
| AS 5094 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing Inc | Hearing Instrument Specialist | Past | Accepting new patients |
| Connect Hearing, Inc. | Hearing Instrument Specialist | Past | Accepting new patients |
| Connect Hearing, Inc. | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hearing Aid Equipment
- North Port, FL
- NPI 1306199922
Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1629444013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 SHUMAN BLVD STE 401",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638123",
"telephone_number": "630-303-5380",
"fax_number": "630-303-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 PINEBROOK RD STE D5",
"city": "VENICE",
"state": "FL",
"postal_code": "34285",
"telephone_number": "941-486-9300",
"fax_number": "941-480-0182"
}
],
"practiceLocations": [
{
"address_1": "14800 Tamiami Trl",
"address_purpose": "LOCATION",
"city": "North Port",
"state": "FL",
"postal_code": "342872701",
"country_code": "US",
"telephone_number": "941-423-5884",
"fax_number": "941-423-5884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAMBERLAIN",
"first_name": "GEORGE",
"middle_name": "C",
"credential": "HAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-19",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS 5094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
- Center of Surgical Excellence of Venice Florida LLC
- Centerplace Health, Inc.
- Centerpointe Counseling and Recovery of Sarasota
- Chad D Lieser DC PA (Venice Family Chiropractic)
- Eleni Chalvadakis, PA-C
- David Chan, MD
- Joseph Edward Castillo Chan, M.D.
- John C Chandler, R.PH.
- Sheila Chandrahasa
- Rita Ann Chaney, M.S., LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.