THOMAS MARK ELLER (NPI# 1780613182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780613182 |
| Entity Type | Individual |
| Full Name | THOMAS MARK ELLER |
| Practice Address |
3399 Wedgewood Ln Lady Lake FL 32162-7180 |
| Mailing Address |
5000 Cheshire Ln N Plymouth MN 55446-3706 |
| Practice Telephone | 3522598070 |
| Practice Fax Number | 3522598976 |
| Mailing Telephone | 8883339152 |
| Mailing Fax Number | 7632684240 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | AS2734 | FL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558321315 | Thomas O. Eller II | Internal Medicine | 4314 Pawnee Dr, Harker Heights, TX 76548 | 2006-03-24 |
| Street Address |
3399 WEDGEWOOD LN |
| City | LADY LAKE |
| State | FL |
| Zip Code | 32162-7180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447203997 | Sonus-usa, Inc | Audiologist-Hearing Aid Fitter | 3399 Wedgewood Ln, Lady Lake, FL 32162-7180 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831700939 | Lana Nesheiwat | Pharmacist | 2235 Parr Drive, Lady Lake, FL 32162 | 2020-08-12 |
| 1619591393 | Advanced Periodontics & Implant Care, LLC | Dentist | 1950 Laurel Manor Drive #184, The Villages, FL 32162 | 2020-05-29 |
| 1639719081 | Retirement Five, LLC | Skilled Nursing Facility | 16605 Se 74th Souiliere Ave, The Villages, FL 32162 | 2020-01-14 |
| 1184263261 | Eric William Allen | Pharmacist | Win Dixie Pharmacy #2545, 2500 Burnsed Blvd, The Villages, FL 32162 | 2020-01-06 |
| 1740828391 | Tara Maria Jennings Irwin | Physical Therapy Assistant | 11962 Cr 101 #104, The Villages, FL 32162 | 2019-12-13 |
| 1851819254 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 310 Longview Ave, Lady Lake, FL 32162 | 2017-09-06 |
| 1033642327 | Ben Miller | Specialist/Technologist | 251 Buffalo Trl, The Villages, FL 32162 | 2017-04-04 |
| 1932631173 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 620 Kristine Way, The Villages, FL 32162 | 2017-03-28 |
| 1639534522 | Pamela Marie Bureau | Registered Nurse | 1020 Lake Sumter Landing, The Villages, FL 32162 | 2015-12-21 |
| 1669847059 | Dawn Johnson | Dental Assistant | 8900 Mulberry Ln, The Villages, FL 32162 | 2015-12-10 |
| Find all providers in zip 32162 | ||||
| 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 |
|---|---|---|---|---|
| 1568978930 | Traci Gamble | Hearing Instrument Specialist | 702 N Us Highway 441, Lady Lake, FL 32159-3194 | 2017-12-21 |
| 1215476817 | Mefl,llc | Hearing Instrument Specialist | 566 N Us Highway 441, Ste E, Lady Lake, FL 32159-3776 | 2017-02-15 |
| 1295133569 | Matthew Kehoe | Hearing Instrument Specialist | 877-b N. Us Hwy 441, Lady Lake, FL 32159 | 2014-12-18 |
| 1417292400 | Derry Vansicklen | Hearing Instrument Specialist | 755 N Us Highway 441, Lady Lake, FL 32159-3196 | 2012-12-03 |
| 1003186024 | Paul J Campoamor | Hearing Instrument Specialist | 877-b N Us Hwy 441, Lady Lake, FL 32159 | 2012-01-06 |
| 1063434512 | Kimberly Scopino | Hearing Instrument Specialist | 860 Avenida Central, Lady Lake, FL 32159 | 2006-07-24 |
| 1003274903 | Jordyn Mckee | Hearing Instrument Specialist | 1130 Bichara Blvd, Lady Lake, FL 32159-7716 | 2016-02-05 |
| 1962805218 | Craig E. Schatzberg | Hearing Instrument Specialist | 755 N Us Highway 441, Lady Lake, FL 32159-3196 | 2014-10-01 |
| 1114352630 | Tiffany Jack | Hearing Instrument Specialist | 1130 Bichara Blvd, Lady Lake, FL 32159-7716 | 2013-09-04 |
| 1295001147 | Jeffrey J Pralle | Hearing Instrument Specialist | 877 B N Us Hwy 441, Lady Lake, FL 32159 | 2012-03-26 |
| Find all providers in LADY LAKE | ||||
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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.