Individual provider Active NPI

Shane Mason, AUD

  • Audiologist
  • Parkersburg, WV
National Provider Identifier
1205685948
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-0423 Issued in WV
Practice address
2012 Garfield Ave Ste 4
Parkersburg, WV 26101-2541
Phone
(304) 428-2403
Fax
(304) 428-3270
NPI assigned
May 15, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-0423 WV Primary

Addresses

Primary practice location

2012 Garfield Ave Ste 4
Parkersburg, WV 26101-2541

Mailing address

2403 Highland Ave
Parkersburg, WV 26101-2921
Phone (304) 904-7836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610002350 WV Practitioner - Qualified Audiologist 1456893148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Services of West Virginia LLCGroup PAC ID 5294058053, 11 clinicians

Practice addresses (Care Compare)

2012 Garfield Ave
Suite 4
Parkersburg, WV 26101-2541
Phone (304) 428-2403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services of West Virginia, LLC Audiologist CurrentSince May 28, 2024 Accepting new patients

Locations

500 Donnally St
Ste 200B
Charleston, WV 25301
Phone (304) 428-2403

2012 Garfield Ave
Ste 4
Parkersburg, WV 26101
Phone (304) 428-2403

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.

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1205685948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 HIGHLAND AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012921",
            "telephone_number": "304-904-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 GARFIELD AVE STE 4",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012541",
            "telephone_number": "304-428-2403",
            "fax_number": "304-428-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "SHANE",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WV",
            "license": "A-0423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.

Verify at the official NPI Registry.