MEDICARE: A & A MARYLAND HEARING CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	00392	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	64003264	OTHER	MD	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	801591	OTHER	MD	JOHN HOPKINS HEALTH
3	3460132	OTHER	MD	AETNA HMO
4	LO98SW	OTHER	MD	CAREFIRST MARYLAND XW,XIP
5	1320	OTHER	MD	CAREFIRST FEDERAL EMPLOYE
6	8608484	OTHER	MD	CIGNA
7	5309254	OTHER	MD	AETNA PPO
8	9419833	OTHER	MD	PHCS
9	221808	OTHER	MD	UNITED HEALTH CARE

General Provider Information

NPI Number	:	1053340729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & A MARYLAND HEARING CENTER, INC

Provider Business Mailing Address
First Line	:	19110 MONTGOMERY VILLAGE AVE
Second Line	:	SUITE 120
City	:	GAITHERSBURG
State	:	MD
Zip	:	20886-3702
Country	:	US
Telephone Number	:	301-977-6317
Fax Number	:	301-977-8504

Provider Business Practice Location Address
First Line	:	19110 MONTGOMERY VILLAGE AVE
Second Line	:	SUITE 120
City	:	GAITHERSBURG
State	:	MD
Zip	:	20886-3702
Country	:	US
Telephone Number	:	301-977-6317
Fax Number	:	301-977-8504

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SHARON SORENSEN
Credential	:	AU.D.
Telephone Number	:	301-977-6317

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	08/22/2020

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