Omallah Bush, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Practice address

1360 W State St
Alliance, OH 44601-3613

Phone

(330) 821-2012

Fax

(330) 823-4799

NPI assigned

Jun 9, 2005

Last updated

Jan 15, 2018By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northland Hearing Center, Inc.

  dba NewSound Hearing Centers

  • Hearing and Speech Clinic/Center
  • Alliance, OH
  • NPI 1003962085

  Audiologist

  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515974400000",
    "number": "1093719874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD STE 300N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155703",
            "telephone_number": "281-286-2999",
            "fax_number": "512-607-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W STATE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446013613",
            "telephone_number": "330-821-2012",
            "fax_number": "330-823-4799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 W State St",
            "address_2": "SUITE #E",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446014686",
            "country_code": "US",
            "telephone_number": "330-821-2012",
            "fax_number": "330-823-4799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSH",
        "first_name": "OMALLAH",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2018-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A-01176",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "4287171",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Brzozowski
• Daulton Joshua Buetner
• Grant Charles Burke, PA-C
• Renae R Burns, RN
• Jennifer M Burtz, PHARMD
• Catherine L. Buswell, APRN.CNP
• Jennifer Butcher
• C & S Professional Management, LLC
• Salvatore Calabretta, R.PH.
• Shaleka Mercedes Cameron, STNA

• Audiologist-Hearing Aid Fitter in Alliance, OH
• Providers in Alliance, OH by specialty
• Audiologist-Hearing Aid Fitter in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.