Sommerville Audiology, LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000502 Issued in MI

Legal business name

SOMMERVILLE AUDIOLOGY, LLC

Practice address

23233 Nine Mack Dr
Saint Clair Shores, MI 48080-1969

Phone

(586) 498-5000

NPI assigned

Nov 20, 2015

Organization subpart

No

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

Authorized official

Name

Jaclyn SommervilleNPI 1790936904

Title

Member

Phone

(586) 498-5000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn Marie Sommerville, AU.D, CCC-A

  • Audiologist
  • Saint Clair Shores, MI
  • NPI 1790936904
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1942674478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23233 NINE MACK DR",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801969",
            "telephone_number": "586-498-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23233 NINE MACK DR",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801969",
            "telephone_number": "586-498-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMMERVILLE AUDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "SOMMERVILLE",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "586-498-5000"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maunda Amina Snodgrass, L.P. PSYD
• Dayna E Snyder, DO
• Cassandra Sokolnicki
• Jennifer Marie Solak, MBA, BSN, RN
• Solas PLC
• Jaclyn Marie Sommerville, AU.D, CCC-A
• Sophisti Cuts LTD Go Green Salon
• David Maurice Sorbo, D.D.S.
• Emianka Sotiri, MD
• Southeastern Michigan Medical Consultants PC

• Audiologist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.