Kaitlyn Elizabeth Waszak

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

1170 Royal Ave
Medford, OR 97504-6101

Phone

(541) 779-7331

NPI assigned

Jun 3, 2022

Last updated

May 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Qualified Audiologist

Education

University of Nebraska College of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medford Ear Nose and Throat Clinic PCGroup PAC ID 1355338013, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Medford Ear Nose and Throat Clinic PC

  dba Oregon Ear Nose and Throat Center

  • Otolaryngology Physician
  • Medford, OR
  • NPI 1669490546
  Medicare reassignment Care Compare group NPD
• Iowa Ear Center

  • Specialist
  • Clive, IA
  • NPI 1780818138
  NPD (past)
• Iowa Ear Technology

  • Audiologist
  • Clive, IA
  • NPI 1841778222
  NPD (past)

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1053050377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 ROYAL AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046101",
            "telephone_number": "541-779-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 ROYAL AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046101",
            "telephone_number": "541-779-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASZAK",
        "first_name": "KAITLYN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taira Coryn Warren, FNP-C
• Jonathan Jay Warrick
• Warriors Journey Forward
• Holly May Wasche, RN
• Mary Lynn Wasmund
• Tetsuji Zenas Watari, DDS
• Vanessa J Waterbury
• Waterford Operations, LLC (Avamere at Three Fountains)
• Susan Ann Waterman, LCSW
• Erin M Watkins, LICENSED DENTURIST

• Audiologist in Medford, OR
• Providers in Medford, OR by specialty
• Audiologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.