Audiology Center of Maine, LLC, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

AP1053E Issued in ME

Legal business name

AUDIOLOGY CENTER OF MAINE, LLC, PA

Practice address

77 Beechland Road
Ellsworth, ME 04605-2639

Phone

(207) 664-2123

Fax

(207) 667-0706

NPI assigned

Apr 24, 2007

Last updated

Nov 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Maryellen B. Toothaker, MA,CCC-ANPI 1609977701

Title

Owner

Phone

(207) 664-2123

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maryellen B. Toothaker, MA,CCC-A

  • Audiologist
  • Ellsworth, ME
  • NPI 1609977701
  Authorized official Same address or phone
• Patricia M Gosselin, AU.D.

  • Audiologist
  • Portland, ME
  • NPI 1891915450
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1992924518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BEECHLAND ROAD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052639",
            "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 ROAD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052639",
            "telephone_number": "207-664-2123",
            "fax_number": "207-667-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY CENTER OF MAINE, LLC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "TOOTHAKER",
        "authorized_official_first_name": "MARYELLEN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-664-2123",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA,CCC-A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "AP1053E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mercedes Lim Ang, M.D.
• Appletree Psychiatry, LLC
• Karen Shea Arkin, BHP, MHRT-C, CADC
• Elizabeth Arntzen, LMT
• Audiology Center, LLC (Audiology Center of Maine)
• Christine Bagley, MHRT-CSP
• Shane Ball, COTA
• Barbara E. Bland, LLC
• Elizabeth Barbato, MHRT-CSP

• Specialist in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.