Evan Charles Grolley, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

60281651 Issued in WA

Practice address

9576 Ridgetop Blvd NW
Suite 103
Silverdale, WA 98383-8554

Phone

(360) 551-4800

Fax

(360) 551-4801

NPI assigned

Oct 7, 2010

Last updated

Nov 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Link Audiology LLCGroup PAC ID 9830490168, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Link Audiology, LLC

  • Audiologist
  • Silverdale, WA
  • NPI 1003208018
  Medicare reassignment Care Compare group NPD Authorized official
• Head & Neck Cosmetic Surgery Associates LLC

  • Otolaryngology Physician
  • Skokie, IL
  • NPI 1558330811
  NPD (past)

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1780994848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9576 RIDGETOP BLVD NW",
            "address_2": "SUITE 103",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838554",
            "telephone_number": "360-551-4800",
            "fax_number": "360-551-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9576 RIDGETOP BLVD NW",
            "address_2": "SUITE 103",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838554",
            "telephone_number": "360-551-4800",
            "fax_number": "360-551-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROLLEY",
        "first_name": "EVAN",
        "middle_name": "CHARLES",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-07",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "60281651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Griffin, OT
• Mary Elizabeth Griffith
• Michael Griffiths, LMP
• Kristin Marie Groessl, PA-C
• Stefan Mark Groetsch, MD
• Lisa Lorraine Gross, L.M.P.
• Leigha K Gruber
• Michael Ryan Gruner, SLPA
• Kristan David Guenterberg, MD
• Darby Guerechit

• Audiologist in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Audiologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.