Individual provider Active NPI

Eric L Maxwell, AUD, FAAA

  • Audiologist
  • Cedar City, UT
National Provider Identifier
1871570481
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
5256571-4101 Issued in UT
Practice address
1870 N Main St
Suite 202
Cedar City, UT 84720-7744
Phone
(435) 867-0714
Fax
(435) 867-0739
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 5256571-4101 UT Primary

Addresses

Primary practice location

1870 N Main St
Suite 202
Cedar City, UT 84720-7744

Mailing address

1870 N Main St
Suite 202
Cedar City, UT 84720-7744
Phone (435) 867-0714

Other identifiers 4

IdentifierTypeStateIssuer
73269OtherUTPEHP
813571OtherUTDMBA
230742OtherUTSELECT HEATH
52565714100001OtherUTBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027000092 UT Practitioner - Qualified Audiologist 9234161944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Management LLCGroup PAC ID 3375693989, 3 clinicians

Practice addresses (Care Compare)

1870 N Main St
Suite 202
Cedar City, UT 84721-7741
Phone (435) 867-0723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
On-Site Hearing, Inc. Audiologist Current Accepting new patients
Intermountain Hearing Clinics, Inc. Audiologist CurrentSince Jul 2, 2003 Accepting new patients
Audiology Management LLC Audiologist CurrentSince Apr 26, 2005 Accepting new patients

Locations

1870 N Main St
Ste 202
Cedar City, UT 84721
Phone (435) 867-0714

168 N 100 E
Ste 202
St George, UT 84770
Phone (435) 218-7768

295 S 1470 E
Ste 301
St George, UT 84790
Phone (435) 688-8866

1490 E Foremaster Dr
Ste 360
St George, UT 84790
Phone (435) 359-3115

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1871570481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 N MAIN ST",
            "address_2": "SUITE 202",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847207744",
            "telephone_number": "435-867-0714",
            "fax_number": "435-867-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 N MAIN ST",
            "address_2": "SUITE 202",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847207744",
            "telephone_number": "435-867-0714",
            "fax_number": "435-867-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "ERIC",
        "middle_name": "L",
        "credential": "AUD, FAAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "5256571-4101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "73269",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "813571",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEATH",
            "identifier": "230742",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52565714100001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.