Provider Demographics
NPI:1972660777
Name:MEDICAL HEARING AID CENTER, INC
Entity Type:Organization
Organization Name:MEDICAL HEARING AID CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:P
Authorized Official - Last Name:DEMARINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-831-7570
Mailing Address - Street 1:2000 OXFORD DRIVE SUITE 201
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102
Mailing Address - Country:US
Mailing Address - Phone:412-831-7570
Mailing Address - Fax:412-854-6149
Practice Address - Street 1:2000 OXFORD DRIVE SUITE 201
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102
Practice Address - Country:US
Practice Address - Phone:412-831-7570
Practice Address - Fax:412-854-6149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAD00260237600000X
237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0528811OtherAETNA
PA655536OtherBLUE CROSS SHIELD
1276594OtherUMW
PA071688Medicare ID - Type Unspecified