Active NPI
Gretchen Lynnette Waggoner, AU.D.
- Audiologist
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A01097
- Practice address
- 456 W 10TH Ave
4A
Columbus, OH 43210-1240 - Phone
- (614) 293-8065
- Fax
- (614) 293-6179
- NPI assigned
- Aug 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A01097 | OH | Primary |
Addresses
Primary practice location
456 W 10TH Ave
4A
Columbus, OH 43210-1240
Mailing address
14987 State Rd
Ostrander, OH 43061-9508
Phone (740) 666-0004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1958 E US Hwy 36
Urbana, OH 43078-9799
Phone (937) 578-2417
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.33 of 100
- Quality
- 68.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.49
Merit-based Incentive Payment System (MIPS)
- Final score
- 46.9 of 100
- Quality
- 0
- Promoting interoperability
- 99
- Improvement activities
- 0
- Cost
- 73.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01097 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union County Physician Corporation | Current | Accepting new patients | |
| Union County Physician Corporation | Current | Accepting new patients |
Locations
140 Colemans Crossing Blvd
Ste 200
Marysville, OH 43040
Phone (937) 578-2207
388 Damascus Rd
Marysville, OH 43040
Phone (937) 578-2626
1958 E US Highway 36
Ste D
Urbana, OH 43078
Phone (937) 578-2626
1958 E US Highway 36
Urbana, OH 43078
Phone (937) 652-1834
Organizations & group practices 2
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.
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- Marysville, OH
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- Marysville, OH
- NPI 1497300172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194837534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14987 STATE RD",
"city": "OSTRANDER",
"state": "OH",
"postal_code": "430619508",
"telephone_number": "740-666-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "456 W 10TH AVE",
"address_2": "4A",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101240",
"telephone_number": "614-293-8065",
"fax_number": "614-293-6179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGGONER",
"first_name": "GRETCHEN",
"middle_name": "LYNNETTE",
"name_prefix": "Mrs.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A01097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.