Active NPI
Matthew Craig Pavone, BC-HIS, HAS
- Hearing Instrument Specialist
- Kissimmee, FL
National Provider Identifier
1881097137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS3404
- Practice address
- 806 N Main St
Kissimmee, FL 34744-4564 - Phone
- (407) 910-4700
- Fax
- (407) 910-4701
- NPI assigned
- Oct 1, 2014
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS3404 | FL | Primary |
Addresses
Primary practice location
806 N Main St
Kissimmee, FL 34744-4564
Mailing address
1751 Blue Ridge Road
Winter Park, FL 32789
Phone (407) 601-5798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS3404 | FL | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511308800000",
"number": "1881097137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 BLUE RIDGE ROAD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "407-601-5798",
"fax_number": "407-286-3186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 N MAIN ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444564",
"telephone_number": "407-910-4700",
"fax_number": "407-910-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVONE",
"first_name": "MATTHEW",
"middle_name": "CRAIG",
"credential": "BC-HIS, HAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-01",
"last_updated": "2017-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS3404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.