Individual provider Active NPI

Michael Emilian Lagrange, HEARING SPECIALIST

  • Hearing Instrument Specialist
  • Sun City Center, FL
National Provider Identifier
1720552011
Registry record updated Jan 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS5337 Issued in FL
Practice address
4850 Sun City Center Blvd
Sun City Center, FL 33573-6281
Phone
(813) 634-8451
NPI assigned
Jan 20, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS5337 FL Primary

Addresses

Primary practice location

4850 Sun City Center Blvd
Sun City Center, FL 33573-6281

Mailing address

4850 Sun City Center Blvd
Sun City Center, FL 33573-6281

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

LicenseStateTypeSpecialty
AS5337FLMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1547942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547942400000",
    "number": "1720552011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 SUN CITY CENTER BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 SUN CITY CENTER BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736281",
            "telephone_number": "813-634-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGRANGE",
        "first_name": "MICHAEL",
        "middle_name": "EMILIAN",
        "credential": "HEARING SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-20",
        "last_updated": "2019-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2019; 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.