MEDICARE: ELEVATED HEARING CENTER, LLC

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	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1184268336
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEVATED HEARING CENTER, LLC

Provider Business Mailing Address
First Line	:	112 HARCOURT RD STE 4
Second Line	:
City	:	MOUNT VERNON
State	:	OH
Zip	:	43050-3944
Country	:	US
Telephone Number	:	740-326-9082
Fax Number	:	740-326-4959

Provider Business Practice Location Address
First Line	:	112 HARCOURT RD STE 4
Second Line	:
City	:	MOUNT VERNON
State	:	OH
Zip	:	43050-3944
Country	:	US
Telephone Number	:	740-326-9082
Fax Number	:

Authorized Official
Title or Position	:	OWNER/AUDIOLGIST
Name	:	DR. ROBIN MELISSA GRAHAM
Credential	:	AU.D.
Telephone Number	:	614-205-8482

Provider Enumeration Date	:	10/31/2019
Last Update Date	:	05/20/2026

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