Samantha Dawn Mogan, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A.02379 Issued in OH

Practice address

460 W 10TH Ave
Columbus, OH 43210-1240

Phone

(614) 685-7327

Fax

(937) 592-9789

NPI assigned

May 26, 2022

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

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 and National Provider Directory roles.

• Mary Rutan Hospital

  dba Mad River Family Practice

  • Family Medicine Physician
  • West Liberty, OH
  • NPI 1003875949
  NPD (past)

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1184362436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 DUNKLE RD",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431139501",
            "telephone_number": "740-438-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-685-7327",
            "fax_number": "937-592-9789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 Kenny Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432103100",
            "country_code": "US",
            "telephone_number": "614-685-7327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOGAN",
        "first_name": "SAMANTHA",
        "middle_name": "DAWN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.02379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Michelle Moffett, CPNP-PC
• Elizabeth Moffitt, CRNA
• Renee Moffitt, D.O.
• Trevor Moffitt, LPC
• Yashasvini Mogalla, MD
• Timothy Jacob Mogan, APRN-CNP
• Aden Moges, LISW-S
• Lisa A. Moghissi, NP
• Miriam Mogilevsky
• Hamza Mohamd

• Audiologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Audiologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.