NPIMap

Organization Active NPI

Panhandle Hearing Centers, Inc.

  • Hearing Instrument Specialist
  • Mary Esther, FL
National Provider Identifier
1790929917
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS3760 Issued in FL
Legal business name
PANHANDLE HEARING CENTERS, INC.
Practice address
300 Mary Esther Blvd
Sears Miracle Ear - Santa Rosa Mall
Mary Esther, FL 32569
Phone
(850) 243-3196
Fax
(850) 243-8294
NPI assigned
May 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Ms. Nan B Hicks
Title
President
Phone
(850) 650-6988

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X AS2176 FL
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X AS4281 FL
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X AS3760 FL Primary
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X AS4329 FL

Addresses

Primary practice location

300 Mary Esther Blvd
Sears Miracle Ear - Santa Rosa Mall
Mary Esther, FL 32569

Mailing address

662 Harbor Blvd
Suite 140
Destin, FL 32541-2473
Phone (850) 650-6988

Other names 1

  • Miracle Ear Other name

National Provider Directory

National Provider Directory
Tax ID family
Miracle Ear2 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.

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1790929917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 HARBOR BLVD",
            "address_2": "SUITE 140",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412473",
            "telephone_number": "850-650-6988",
            "fax_number": "850-650-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MARY ESTHER BLVD",
            "address_2": "SEARS MIRACLE EAR - SANTA ROSA MALL",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "32569",
            "telephone_number": "850-243-3196",
            "fax_number": "850-243-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE HEARING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "NAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-650-6988",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS2176",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS4281",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS3760",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS4329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Ear",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mary Esther, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.