Active NPI
Eric L Maxwell, AUD, FAAA
- Audiologist
- Cedar City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 5256571-4101
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73269 | Other | UT | PEHP |
| 813571 | Other | UT | DMBA |
| 230742 | Other | UT | SELECT HEATH |
| 52565714100001 | Other | UT | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On-Site Hearing, Inc. | Audiologist | Current | Accepting new patients |
| Intermountain Hearing Clinics, Inc. | Audiologist | Current | Accepting new patients |
| Audiology Management LLC | Audiologist | Current | 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.
-
- Audiologist
- St George, UT
- NPI 1891781357
-
- Audiologist
- Cedar City, UT
- NPI 1417141037
-
- Audiologist
- Cedar City, UT
- NPI 1477397040
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.