MRS. SANDRA J PRYTULA (NPI# 1760570576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760570576 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA J PRYTULA |
| Practice Address |
21000 E 12 Mile Rd Suite 111 Saint Clair Shores MI 48081-1116 |
| Mailing Address |
21000 E 12 Mile Rd Ste 111 St Clair Shores MI 48081 |
| Practice Telephone | 5867797610 |
| Mailing Telephone | 5867797610 |
| Mailing Fax Number | 5864452526 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237600000X | Audiologist-Hearing Aid Fitter | 1601000065 | MI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE SHIELD | 640E07684 | 01 |
| MI | BLUE SHIELD | 540E00292 | 01 |
| BLUE SHIELD | 0E01107 | 01 | |
| MI | BLUE SHIELD | 0E06192 | 01 |
| Street Address |
21000 E 12 MILE RD SUITE 111 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48081-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255330486 | Jennifer Kay Appleyard | Allergy & Immunology | 21000 E 12 Mile Rd, Ste 111, Saint Clair Shores, MI 48081-1116 | 2005-07-19 |
| 1881203479 | Andrew Michael Keltz | Speech-Language Pathologist | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2020-07-29 |
| 1770120230 | Holly Ann Reckers | Speech-Language Pathologist | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2019-12-04 |
| 1578037966 | Maria Juliana Codino | Speech-Language Pathologist | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2019-01-18 |
| 1942779921 | Maria D Samsa | Physician Assistant | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2018-11-19 |
| 1801331210 | Katja N Tandarich | Nurse Practitioner | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 | 2016-12-21 |
| 1053854133 | Jean P. Skeffington | Speech-Language Pathologist | 21000 E 12 Mile Rd, Suite111, Saint Clair Shores, MI 48081-1116 | 2016-11-22 |
| 1134588254 | Alyssa Domenica Baker | Physician Assistant | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2016-02-17 |
| 1316350192 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 21000 E 12 Mile Rd, Suite 105, Saint Clair Shores, MI 48081-1116 | 2014-06-09 |
| 1720404775 | Sean Anthony Cassleman | Internal Medicine | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2014-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063500726 | Professional Hearing Aid Center | Audiologist-Hearing Aid Fitter | 21518 Harper Ave, Saint Clair Shores, MI 48080-2211 | 2006-10-10 |
| 1225470339 | Maureen Jane Streeter | Audiologist-Hearing Aid Fitter | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 | 2013-07-18 |
| 1073775599 | Mary E Markovich | Audiologist-Hearing Aid Fitter | 21000 E 12 Mile Rd, Ste 111, Saint Clair Shores, MI 48081-1116 | 2008-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215584982 | Lorin David Riutta | Audiologist-Hearing Aid Fitter | 150 Greenwood St, Ishpeming, MI 49849-2314 | 2019-08-19 |
| 1578123790 | Jon Boynton | Audiologist-Hearing Aid Fitter | 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 | 2019-06-19 |
| 1679042808 | John Russell Saunders | Audiologist-Hearing Aid Fitter | 27041 Schoenherr Rd Ste B, Warren, MI 48088-6674 | 2018-11-16 |
| 1700368875 | Diane Marie Mamut | Audiologist-Hearing Aid Fitter | 134 W Middle St Ste A, Chelsea, MI 48118-1515 | 2018-09-05 |
| 1750882585 | Donald Roy Schell IIi | Audiologist-Hearing Aid Fitter | 5629 Sashabaw Rd, Clarkston, MI 48346-3149 | 2018-02-27 |
| 1912408758 | The Hearing Loss Treatment Center | Audiologist-Hearing Aid Fitter | 214 E Elm Ave Ste 111, Monroe, MI 48162-2678 | 2018-02-27 |
| 1386090488 | Sterling Hearing Care | Audiologist-Hearing Aid Fitter | 2032 E Square Lake Rd Ste 200f, Troy, MI 48085-3315 | 2016-05-06 |
| 1497129670 | Heritage Hearing, PC | Audiologist-Hearing Aid Fitter | 23083 E Main St, Armada, MI 48005-4706 | 2015-11-25 |
| 1861827370 | May Audiology and Hearing Aid Center | Audiologist-Hearing Aid Fitter | 4976 N Adams Rd, Rochester, MI 48306-1416 | 2013-09-04 |
| 1417395344 | Bieri Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 919 N Mcewan St, Suite C, Clare, MI 48617-1234 | 2013-06-13 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
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| 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.