Active NPI
Andrea S Gerlach, AU.D.
- Audiologist
- Dallas, TX
National Provider Identifier
1164565545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 80257
- Practice address
- 7777 Forest LN
A103
Dallas, TX 75230-2571 - Phone
- (972) 566-7359
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 01105 | MD | |
| Audiologist | 231H00000X | 80257 | TX | Primary |
Addresses
Primary practice location
7777 Forest LN
A103
Dallas, TX 75230-2571
Mailing address
7777 Forest LN
A107
Dallas, TX 75230-2571
Phone (972) 566-7359
Other names 1
- Andrea S Wagner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.22 of 100
- Quality
- 82.14
- Improvement activities
- 40
- Cost
- 71.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80257 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Otolaryngology Associates | Current | Accepting new patients |
Locations
7777 Forest Ln
Ste A107
Dallas, TX 75230
Phone (972) 566-7359
7777 Forest Ln
Ste A103
Dallas, TX 75230
Phone (972) 566-7359
4461 Coit Rd
Ste 311
Frisco, TX 75035
Phone (214) 872-2688
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.
-
- Otolaryngology Physician
- Dallas, TX
- NPI 1346444072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1164565545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "A107",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302571",
"telephone_number": "972-566-7359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "A103",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302571",
"telephone_number": "972-566-7359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERLACH",
"first_name": "ANDREA",
"middle_name": "S",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "01105",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "WAGNER",
"middle_name": "S",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.