MR. JACOB MAHAN (NPI# 1427539055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427539055 |
| Entity Type | Individual |
| Full Name | MR. JACOB MAHAN |
| Practice Address |
1871 Wells Rd Ste 10 Orange Park FL 32073-2350 |
| Mailing Address |
4006 3rd St S Jacksonville Beach FL 32250-5848 |
| Practice Telephone | 9045794814 |
| Practice Fax Number | 9042474328 |
| Mailing Telephone | 9042474327 |
| Mailing Fax Number | 9042474328 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | AS5362 | FL | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9398 Arlington Expy, Jacksonville, FL 322258213 | 9047255590 | 9045592121 |
| Street Address |
1871 WELLS RD STE 10 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720472814 | Clear Ear Hearing of Northeast Florida, LLC. | Hearing Aid Equipment | 1871 Wells Rd Ste 10, Orange Park, FL 32073-2350 | 2015-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083278386 | Sarah Beth St.martin | Hearing Instrument Specialist | 410 Blanding Blvd Ste 11, Orange Park, FL 32073-5065 | 2019-04-23 |
| 1578075594 | Lisa White | Hearing Instrument Specialist | 664 Kingsley Ave Ste 102, Orange Park, FL 32073 | 2017-10-31 |
| 1740799469 | Frank Severino | Hearing Instrument Specialist | 2108 Park Ave Ste 108, Orange Park, FL 32073-5589 | 2017-09-26 |
| 1205262284 | New Way Hearing Aids, Inc. | Hearing Instrument Specialist | 1482 Park Ave, Orange Park, FL 32073-4908 | 2013-09-23 |
| 1811240955 | Michael Brian Knapp | Hearing Instrument Specialist | 664 Kingsley Avene 102, Orange Park, FL 32073 | 2012-10-25 |
| 1508138918 | Mefl, LLC | Hearing Instrument Specialist | 155 Blanding Blvd Ste 7, Orange Park, FL 32073-2624 | 2012-01-31 |
| 1174669972 | Hearing Centers of Florida | Hearing Instrument Specialist | 1990 Kingsley Ave, Orange Park, FL 32073-4442 | 2007-01-29 |
| 1922631894 | Nextgen Hearing Centers | Hearing Instrument Specialist | 2108 Park Ave Ste 108, Orange Park, FL 32073-5589 | 2020-02-19 |
| 1558913822 | Eric James Overton | Hearing Instrument Specialist | 1482 Park Ave, Orange Park, FL 32073-4908 | 2019-07-16 |
| 1063950582 | Amy Page | Hearing Instrument Specialist | 1990 Kingsley Ave, Orange Park, FL 32073-4442 | 2017-02-03 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
Please comment or provide details below to improve the information on MR. JACOB MAHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.