Active NPI
Matthew Allen Magruder
- Hearing Instrument Specialist
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS5384
- Practice address
- 1430 66TH St N
St Petersburg, FL 33710-5504 - Phone
- (727) 343-3019
- NPI assigned
- Feb 17, 2021
- 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 | AS5384 | FL | Primary |
Addresses
Primary practice location
1430 66TH St N
St Petersburg, FL 33710-5504
Mailing address
11400 N Jog Rd
Palm Beach Gardens, FL 33418-1756
Phone (561) 453-3233
Other practice location 1
3146 Little Rd
Trinity, FL 34655-1864
Phone (727) 807-5694
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 |
|---|---|---|---|
| AS5384 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Current | Accepting new patients | |
| Lifestyle Hearing Corporation USA Inc | Hearing Instrument Specialist | Past | Accepting new patients |
Locations
11400 N Jog Rd
Palm Beach Gardens, FL 33418
Phone 5614788770 ext. 181
1430 66th St N
St Petersburg, FL 33710
Phone (727) 343-3019
250 Avenue K SW
Ste 105
Winter Haven, FL 33880
Phone (863) 268-2105
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 2
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-Hearing Aid Fitter
- Dublin, OH
- NPI 1164707998
-
- Audiologist-Hearing Aid Fitter
- Palm Beach Gardens, FL
- NPI 1316338346
Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1922691336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11400 N JOG RD",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334181756",
"telephone_number": "561-453-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 66TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337105504",
"telephone_number": "727-343-3019"
}
],
"practiceLocations": [
{
"address_1": "3146 Little Rd",
"address_purpose": "LOCATION",
"city": "Trinity",
"state": "FL",
"postal_code": "346551864",
"country_code": "US",
"telephone_number": "727-807-5694",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGRUDER",
"first_name": "MATTHEW",
"middle_name": "ALLEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-17",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS5384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.