Individual provider Active NPI

Sally Stroud Quilligan, HIS

  • Hearing Instrument Specialist
  • Cincinnati, OH
National Provider Identifier
1043831126
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
IL.03421 Issued in OH
Practice address
2825 Burnet Ave Ste 330
Cincinnati, OH 45219-2426
Phone
(513) 221-0527
Fax
(513) 221-8014
NPI assigned
Apr 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X IL.03421 OH Primary

Addresses

Primary practice location

2825 Burnet Ave Ste 330
Cincinnati, OH 45219-2426

Mailing address

2825 Burnet Ave Ste 330
Cincinnati, OH 45219-2426
Phone (513) 221-0527

Other names 1

  • Sally Marie Stroud Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IL.03421OHMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Speech and Deaf Center of Greater Cincinnati CurrentSince May 3, 2020 Accepting new patients

Locations

2825 Burnet Ave
Ste 330
Cincinnati, OH 45219
Phone (513) 221-0527

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": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1043831126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 BURNET AVE STE 330",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192426",
            "telephone_number": "513-221-0527",
            "fax_number": "513-221-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 BURNET AVE STE 330",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192426",
            "telephone_number": "513-221-0527",
            "fax_number": "513-221-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILLIGAN",
        "first_name": "SALLY",
        "middle_name": "STROUD",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "IL.03421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "STROUD",
            "middle_name": "MARIE",
            "credential": "HIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.