Organization Active NPI

Advanced Audiology & Hearing AIDS, LLC

  • Audiologist
  • Port St Lucie, FL
National Provider Identifier
1760070122
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
ADVANCED AUDIOLOGY & HEARING AIDS, LLC
Practice address
9121 One Putt PL
Port St Lucie, FL 34986-3097
Phone
(772) 236-3256
NPI assigned
Dec 31, 2020
Last updated
Dec 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Authorized official

Name
Dr. Hyo Chang Woo Arnold, AUDNPI 1801034343
Title
Owner, Audiologist
Phone
(772) 236-3256

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
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

9121 One Putt PL
Port St Lucie, FL 34986-3097

Mailing address

9121 One Putt PL
Port St Lucie, FL 34986-3097
Phone (772) 882-8968

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL clinic@hearbetterathome.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210519000377 FL Part B Supplier - Clinic/Group Practice 4284033523 Receives reassigned benefits from 1 practitioner
Practice locations: Port St Lucie, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1760070122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 ONE PUTT PL",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863097",
            "telephone_number": "772-882-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 ONE PUTT PL",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863097",
            "telephone_number": "772-236-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED AUDIOLOGY & HEARING AIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "HYO CHANG",
        "authorized_official_middle_name": "WOO",
        "authorized_official_title_or_position": "OWNER, AUDIOLOGIST",
        "authorized_official_telephone_number": "772-236-3256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "clinic@hearbetterathome.com",
            "affiliation": "N",
            "endpointDescription": "Secured Practice Email & OMS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "9121 One Putt Pl",
            "city": "Port St Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349863097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.