Active NPI
Edmond Hearing Doctors PLLC
- Hearing and Speech Clinic/Center
- Edmond, OK
National Provider Identifier
1790068864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- License
- 351
- Legal business name
- EDMOND HEARING DOCTORS PLLC
- Practice address
- 307 E Danforth Rd
Suite 118
Edmond, OK 73034-4483 - Phone
- (405) 341-1800
- NPI assigned
- Sep 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Trevor Courouleau, AU.D.
- Title
- Audiologist/Owner
- Phone
- (405) 341-1800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | 351 | OK | Primary |
Addresses
Primary practice location
307 E Danforth Rd
Suite 118
Edmond, OK 73034-4483
Mailing address
307 E Danforth Rd
Suite 118
Edmond, OK 73034-4483
Phone (405) 341-1800
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316822400000",
"number": "1790068864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 E DANFORTH RD",
"address_2": "SUITE 118",
"city": "EDMOND",
"state": "OK",
"postal_code": "730344483",
"telephone_number": "405-341-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 E DANFORTH RD",
"address_2": "SUITE 118",
"city": "EDMOND",
"state": "OK",
"postal_code": "730344483",
"telephone_number": "405-341-1800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDMOND HEARING DOCTORS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-24",
"last_updated": "2011-09-24",
"status": "A",
"authorized_official_last_name": "COUROULEAU",
"authorized_official_first_name": "TREVOR",
"authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
"authorized_official_telephone_number": "405-341-1800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": "OK",
"license": "351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.