Individual provider Active NPI

Bethany Priscilla Gonczy, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Athens, OH
National Provider Identifier
1003129511
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
A-01741 Issued in OH
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

Updated by the provider on Mar 22, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A-0269OtherWVA-0269

Other names 1

  • Bethany P. Cook/Cooke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181205002085 OH Practitioner - Qualified Audiologist 0345364022 Reassigns benefits to 1 organization

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
D.E. McVey Enterprises Inc.Group PAC ID 4880627140, 2 clinicians

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

LicenseStateTypeSpecialty
A-01741OHMDAudiologist-Hearing Aid Fitter
A-0269WVMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
De McVey Enterprises Inc Audiologist-Hearing Aid Fitter CurrentSince Oct 1, 2018 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.

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.

Verify at the official NPI Registry.