Active NPI
Michael Patrick Wallett
- Hearing Instrument Specialist
- Lakewood, OH
National Provider Identifier
1629585252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2418
- Practice address
- 14701 Detroit Ave
Lakewood, OH 44107-4115 - Phone
- (216) 712-7337
- Fax
- (216) 712-7371
- NPI assigned
- Jan 4, 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 | 2418 | OH | Primary |
Addresses
Primary practice location
14701 Detroit Ave
Lakewood, OH 44107-4115
Mailing address
14701 Detroit Ave
Lakewood, OH 44107-4115
Phone (216) 712-7337
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 |
|---|---|---|---|
| 2418 | OH | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515024000000",
"number": "1629585252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14701 DETROIT AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441074115",
"telephone_number": "216-712-7337",
"fax_number": "216-712-7371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14701 DETROIT AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441074115",
"telephone_number": "216-712-7337",
"fax_number": "216-712-7371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLETT",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-04",
"last_updated": "2018-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "OH",
"license": "2418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.