Organization Active NPI

Richard Polhill Professional Hearing Solutions, LLC

  • Hearing Instrument Specialist
  • Port Orange, FL
National Provider Identifier
1659642585
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Legal business name
RICHARD POLHILL PROFESSIONAL HEARING SOLUTIONS, LLC
Practice address
4550 Clyde Morris Blvd Ste B
Port Orange, FL 32129-4080
Phone
(386) 265-4769
Fax
(386) 265-4770
NPI assigned
Jan 24, 2012
Last updated
Mar 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Mr. Richard Alan Polhill, HAS, BC-HISNPI 1801839915
Title
President, Owner
Phone
(386) 265-4769

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X Primary

Addresses

Primary practice location

4550 Clyde Morris Blvd Ste B
Port Orange, FL 32129-4080

Mailing address

4550 Clyde Morris Blvd Ste B
Port Orange, FL 32129-4080
Phone (386) 265-4769

Other names 1

  • Ampme, LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1659642585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 CLYDE MORRIS BLVD STE B",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321294080",
            "telephone_number": "386-265-4769",
            "fax_number": "386-265-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 CLYDE MORRIS BLVD STE B",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321294080",
            "telephone_number": "386-265-4769",
            "fax_number": "386-265-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD POLHILL PROFESSIONAL HEARING SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "POLHILL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "386-265-4769",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HAS, BC-HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ampme, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.