Active NPI
Bethany Priscilla Gonczy, AU.D.
- Audiologist-Hearing Aid Fitter
- Athens, OH
National Provider Identifier
1003129511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- A-01741
- Practice address
- 275 W Union St
Athens, OH 45701-2313 - Phone
- (740) 594-3571
- Fax
- (740) 592-2212
- NPI assigned
- Jul 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | A-0269 | WV | |
| Audiologist-Hearing Aid Fitter | 237600000X | A-01741 | OH | Primary |
Addresses
Primary practice location
275 W Union St
Athens, OH 45701-2313
Mailing address
275 W Union St
Athens, OH 45701-2313
Phone (740) 594-3571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A-0269 | Other | WV | A-0269 |
Other names 1
- Bethany P. Cook/Cooke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Ohio University, College of Osteopathic Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
275 W Union St
Athens, OH 45701-2313
Phone (740) 594-3571
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-01741 | OH | MD | Audiologist-Hearing Aid Fitter |
| A-0269 | WV | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| De McVey Enterprises Inc | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Athens, OH
- NPI 1326184938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1003129511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 W UNION ST",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012313",
"telephone_number": "740-594-3571",
"fax_number": "740-592-2212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 W UNION ST",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012313",
"telephone_number": "740-594-3571",
"fax_number": "740-592-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONCZY",
"first_name": "BETHANY",
"middle_name": "PRISCILLA",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-26",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WV",
"license": "A-0269",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "OH",
"license": "A-01741",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "A-0269",
"identifier": "A-0269",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BETHANY",
"last_name": "COOK/COOKE",
"middle_name": "P.",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.