Ashley Verba, AUDIOLOGIST
Individual provider Active NPI Audiologist · Springfield, OH
NPI 1164043659 · NPPES record last updated Nov 15, 2024
Key facts
- NPI
- 1164043659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- A.02412 (OH)
- Practice address
- 435 S. Burnett Rd.
Springfield, OH 45505 - Phone
- (937) 325-8796
- Fax
- (937) 325-6698
- NPI assigned
- May 6, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Ohio Valley Medical Group LLC
Practice addresses (Care Compare)
2816 Troy Rd
Springfield, OH 45504-4328
Phone (937) 340-6440
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241120003803 | OH | Practitioner - Qualified Audiologist | 4587199088 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Medical Group, LLC | Current |
Accepting new patients | |
| Arizona Ear Center PC | Past |
Accepting new patients |
Locations
7790 Dayton Springfield Rd
Ste B
Fairborn, OH 45324
Phone (937) 340-6440
435 S Burnett Rd
Springfield, OH 45505
Phone (513) 325-8796
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otology & Neurotology Physician | 207YX0901X | 200642800 | AZ | |
| Audiologist | 231H00000X | A.02412 | OH | Yes |
Addresses
Primary practice location
435 S. Burnett Rd.
Springfield, OH 45505
Mailing address
435 S. Burnett Rd.
Springfield, OH 45505
Phone (937) 325-8796
Other names
- Ashley Kuminkoski
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ModMed | Health Information Exchange (HIE) |
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.