Organization Active NPI

Kevin T. Barlow, PA

  • Audiologist
  • Winter Haven, FL
National Provider Identifier
1760699839
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY235 Issued in FL
Legal business name
KEVIN T. BARLOW, PA
Practice address
510 1St St S
Winter Haven, FL 33880-3601
Phone
(863) 293-6507
Fax
(863) 291-0737
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Dr. Kevin Thomas Barlow, AUD, FAAANPI 1770654451
Title
President/Clinicial Provider
Phone
(863) 293-6507

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 AY235 FL Primary

Addresses

Primary practice location

510 1St St S
Winter Haven, FL 33880-3601

Mailing address

510 1St St S
Winter Haven, FL 33880-3601
Phone (863) 293-6507

Other names 1

  • Winter Haven Audiology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050603000608 FL Part B Supplier - Clinic/Group Practice 2163465881 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Wales, FL

National Provider Directory

National Provider Directory
Tax ID family
Kevin T Barlow PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

704 State Road 60 E
Lake Wales, FL 33853
Phone (863) 676-8900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1760699839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803601",
            "telephone_number": "863-293-6507",
            "fax_number": "863-291-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803601",
            "telephone_number": "863-293-6507",
            "fax_number": "863-291-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN T. BARLOW, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "BARLOW",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/CLINICIAL PROVIDER",
        "authorized_official_telephone_number": "863-293-6507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD, FAAA"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winter Haven Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.