Active NPI
John David McElmurry, AU.D.
- Audiologist
- Lake Mary, FL
National Provider Identifier
1760653752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY820
- Practice address
- 795 Primera Blvd
Suite 1031
Lake Mary, FL 32746-2191 - Phone
- (407) 829-8981
- NPI assigned
- Mar 18, 2008
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY820 | FL | Primary |
Addresses
Primary practice location
795 Primera Blvd
Suite 1031
Lake Mary, FL 32746-2191
Mailing address
631 Altamira Cir
Apt. 308
Altamonte Springs, FL 32701-4041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600372900 | Medicaid | FL |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Past | Accepting new patients | |
| Hearusa Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
-
- Audiologist-Hearing Aid Fitter
- Dublin, OH
- NPI 1164707998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1760653752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 ALTAMIRA CIR",
"address_2": "APT. 308",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 PRIMERA BLVD",
"address_2": "SUITE 1031",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462191",
"telephone_number": "407-829-8981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELMURRY",
"first_name": "JOHN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-18",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600372900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.