Provider Demographics
NPI:1497799001
Name:MILLIANO AUDIOLOGY LLC
Entity Type:Organization
Organization Name:MILLIANO AUDIOLOGY LLC
Other - Org Name:AUDIOLOGY & HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MILLIANO
Authorized Official - Suffix:SR
Authorized Official - Credentials:AUD DOCTOR OF AUDIOL
Authorized Official - Phone:270-554-6000
Mailing Address - Street 1:150 BRETT CHASE
Mailing Address - Street 2:STE B
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003
Mailing Address - Country:US
Mailing Address - Phone:270-554-6000
Mailing Address - Fax:270-554-6995
Practice Address - Street 1:150 BRETT CHASE
Practice Address - Street 2:STE B
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003
Practice Address - Country:US
Practice Address - Phone:270-554-6000
Practice Address - Fax:270-554-6995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-0632237600000X
KYKY-0245237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DD5888OtherPALMETTO GBA
KY70900683Medicaid
KY50900224OtherMEDICAID HEARING INSTRUME
655374OtherHEALTHLINK
000000326458OtherANTHEM AUDIOLOGIST
000000325638OtherANTHEM HEARING INSTRUMENT
4408277OtherAETNA
DD5888OtherPALMETTO GBA
KY50900224OtherMEDICAID HEARING INSTRUME