=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023904869
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | APEX HEARING GROUP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/17/2025
-----------------------------------------------------
Last Update Date | 06/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10615 MONTGOMERY RD STE 202
-----------------------------------------------------
City | MONTGOMERY
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45242-4460
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-349-1351
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7500 MADEIRA PINES DR
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45243-0017
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-349-1351
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/AUDIOLOGIST
-----------------------------------------------------
Name | DR. JENNIFER JEAN KATAFIASZ
-----------------------------------------------------
Credential | AUD
-----------------------------------------------------
Telephone | 513-349-1351
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QH0700X
-----------------------------------------------------
Taxonomy Name | Hearing and Speech Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------