Individual provider Active NPI

Alexis R. Nadler, AU.D.

  • Audiologist
  • Lima, OH
National Provider Identifier
1023004579
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A00653 Issued in OH
Practice address
545 W Market St
Suite 333
Lima, OH 45801-4761
Phone
(419) 222-9010
Fax
(419) 222-5496
NPI assigned
Sep 21, 2005
Last updated
Oct 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A00653 OH Primary

Addresses

Primary practice location

545 W Market St
Suite 333
Lima, OH 45801-4761

Mailing address

545 W Market St
Suite 333
Lima, OH 45801-4761
Phone (419) 222-9010

Other identifiers 1

IdentifierTypeStateIssuer
2458335MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031204000534 OH Practitioner - Qualified Audiologist 2769387513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing and Balance Center IncGroup PAC ID 8022004464, 2 clinicians

Practice addresses (Care Compare)

545 W Market St
Suite 333
Lima, OH 45801-4775
Phone (419) 222-9010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A00653OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing & Balance Center, Inc. Audiologist CurrentSince Jan 3, 2004 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

545 W Market St
Ste 333
Lima, OH 45801
Phone (419) 222-9010

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1023004579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 W MARKET ST",
            "address_2": "SUITE 333",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014761",
            "telephone_number": "419-222-9010",
            "fax_number": "419-222-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W MARKET ST",
            "address_2": "SUITE 333",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014761",
            "telephone_number": "419-222-9010",
            "fax_number": "419-222-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADLER",
        "first_name": "ALEXIS",
        "middle_name": "R.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A00653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2458335",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.