Individual provider Active NPI

Mark Krumm

  • Audiologist
  • Cuyahoga Falls, OH
National Provider Identifier
1053869016
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A01546 Issued in OH
Practice address
151 Christy Dr
Cuyahoga Falls, OH 44223-3353
Phone
(330) 510-6409
NPI assigned
Sep 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A01546 OH Primary
Assistive Technology Practitioner Audiologist 231HA2400X A01546 OH
Audiologist-Hearing Aid Fitter 237600000X A01546 OH
Hearing Instrument Specialist 237700000X A01546 OH

Addresses

Primary practice location

151 Christy Dr
Cuyahoga Falls, OH 44223-3353

Mailing address

151 Christy Dr
Cuyahoga Falls, OH 44223-3353
Phone (330) 510-6409

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
A01546OHMDAssistive Technology Practitioner Audiologist

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1053869016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 CHRISTY DR",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442233353",
            "telephone_number": "330-510-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 CHRISTY DR",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442233353",
            "telephone_number": "330-510-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMM",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A01546",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "OH",
            "license": "A01546",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "A01546",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "A01546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.