FARMINGTON HEARING AND BALANCE LLC (NPI# 1568820116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568820116 |
| Entity Type | Organization |
| Organization Name | FARMINGTON HEARING AND BALANCE LLC |
| Practice Address |
501 W Pine St Farmington MO 63640-1439 |
| Practice Telephone | 5737568888 |
| Practice Fax Number | 8662915617 |
| Mailing Telephone | 5737568888 |
| Mailing Fax Number | 8662915617 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |
| Authorized Official Name | JUSTIN W ROBERTS (PRESIDENT) |
| Authorized Official Telephone | 5737568888 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Street Address |
501 W PINE ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073877619 | Steven Thomas Duel Wade | Audiologist | 501 W Pine St, Farmington, MO 63640-1439 | 2012-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174815096 | Hailun Wang | Otolaryngology | 21 South Rd Ste 112, Farmington, CT 06032-2482 | 2011-05-11 |
| 1629086657 | Michael P Joseph | Otolaryngology | 105 Mt Blue Cir, Suite 2, Farmington, ME 04938-6239 | 2006-08-04 |
| 1437145224 | Brook M. Seeley | Otolaryngology | 499 Farmington Ave., Suite 210, Farmington, CT 06030-0001 | 2005-09-27 |
| 1396132478 | Jonathan Mallen | Otolaryngology | 263 Farmington Ave, Farmington, CT 06030-8083 | 2015-04-16 |
| 1023371549 | Nicholas Stephen Karter | Otolaryngology | 499 Farmington Ave, Farmington, CT 06032 | 2012-06-19 |
| 1952538456 | Todd Ernest Falcone | Otolaryngology | 263 Farmington Ave, Farmington, CT 06030-2212 | 2009-06-11 |
| 1932356508 | Benjamin John Wycherly | Otolaryngology | 21 South Road, Prohealth Physicians, Farmington, CT 06032 | 2008-08-26 |
| 1104072354 | Daniel Stewart Roberts | Otolaryngology | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2008-08-07 |
| 1699940692 | Edward Jung Kyun Lee | Otolaryngology | 21 South Rd, Suite 112, Farmington, CT 06032-2482 | 2008-04-29 |
| 1679611701 | Seth Michael Brown | Otolaryngology | 21 South Road, Farmington, CT 06032 | 2007-02-01 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.