David Alvin Jardine, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AP2016 Issued in ME

Practice address

77 Beechland Rd
Ellsworth, ME 04605-2539

Phone

(207) 664-2123

Fax

(207) 667-0706

NPI assigned

Aug 22, 2007

Last updated

Nov 26, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Audiology Center, LLC

  dba Audiology Center of Maine

  • Audiologist
  • Ellsworth, ME
  • NPI 1750878633
  NPD (past) Authorized official

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480118400000",
    "number": "1942493044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BEECHLAND RD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052539",
            "telephone_number": "207-664-2123",
            "fax_number": "207-667-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BEECHLAND RD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052539",
            "telephone_number": "207-664-2123",
            "fax_number": "207-667-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARDINE",
        "first_name": "DAVID",
        "middle_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2016-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "ME",
            "license": "AP2016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacey E Hutchins, MSPT
• Indigo Diagnostic Imaging
• Lisa J Jacobs, RDH
• Dylan Patrick Jacobus, M.D.
• Jane Garfield Dba Mednow Clinic Ellsworth
• Elizabeth Beal Jardine, AU.D.
• Bethany L. Jarvis, FNP
• Roberta Johnson, LCSW
• Judith Mae Jones
• Gopinatha Albert Joseph, DO

• Audiologist-Hearing Aid Fitter in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• Audiologist-Hearing Aid Fitter in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2016; 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.