SOUTHEASTERN HEARING, INC (NPI# 1902345085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902345085 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN HEARING, INC |
| Practice Address |
4006 3rd St S Jacksonville Beach FL 32250-5848 |
| Practice Telephone | 9042474327 |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |
| Authorized Official Name | TROY MAHAN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9042474327 |
| Authorized Official Credential | H.A.S. NBC-HIS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332S00000X | Hearing Aid Equipment | AS2210 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | J0655 | 01 |
| Street Address |
4006 3RD ST S |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-5848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649748815 | Troy Mahan | Hearing Instrument Specialist | 4006 3rd St S, Jacksonville Beach, FL 32250-5848 | 2018-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 332S00000X |
| Grouping | Suppliers |
| Classification | Hearing Aid Equipment |
| The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961910 | Hearing Aids Today | Hearing Aid Equipment | 1120 Park Ave Ste G, Orange Park, FL 32073-4124 | 2020-01-09 |
| 1598325466 | Steves Hearingllc | Hearing Aid Equipment | 742 N Volucia Ave., Orange City, FL 32763 | 2019-06-13 |
| 1184197444 | Gn Hearing Care Corp | Hearing Aid Equipment | 14025 N Dale Mabry Hwy, Tampa, FL 33618-2401 | 2019-01-09 |
| 1265908016 | Hear Again LLC | Hearing Aid Equipment | 222 95th St, Surfside, FL 33154-2802 | 2018-10-19 |
| 1033685904 | Hear Again LLC | Hearing Aid Equipment | 16770 S Us Highway 441 Ste 604, Summerfield, FL 34491-8678 | 2018-10-18 |
| 1811487861 | Northland Hearing Center Inc | Hearing Aid Equipment | 555h W Granada Blvd, Ormond Beach, FL 32174-5103 | 2018-05-15 |
| 1144719154 | Hearing Healthcare Solutions Inc | Hearing Aid Equipment | 4206 Sebring Parkway, Sebring, FL 33870 | 2018-05-04 |
| 1982120440 | Sandra Wagner | Hearing Aid Equipment | 8085 Spyglass Hill Road, Viera, FL 32940 | 2017-08-16 |
| 1417482506 | Ear To Hear Healthcare, LLC | Hearing Aid Equipment | 10600 Chevrolet Way Ste 207, Estero, FL 33928-4422 | 2017-04-26 |
| 1265964043 | Hear Again LLC | Hearing Aid Equipment | 13550 Reflections Pkwy, 4-402, Fort Myers, FL 33907-6539 | 2017-03-30 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
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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.