Individual provider Active NPI

Susan W Driskill

  • Audiologist
  • Madisonville, KY
National Provider Identifier
1245404425
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0881 Issued in KY
Practice address
800 Hospital Dr
Madisonville, KY 42431-1658
Phone
(270) 326-4800
Fax
(270) 326-4820
NPI assigned
Apr 17, 2008
Last updated
Mar 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0881 KY Primary

Addresses

Primary practice location

800 Hospital Dr
Madisonville, KY 42431-1658

Mailing address

200 Clinic Dr
Madisonville, KY 42431-1661

Other practice location 1

1215 Old Main St
Hartford, KY 42347-1619
Phone (270) 730-5344

Other identifiers 2

IdentifierTypeStateIssuer
000000778279OtherKYBCBS TROVER CLINIC
P01094486OtherKYRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081015000583 KY Practitioner - Qualified Audiologist 8820156185 Reassigns benefits to 2 organizations
I20171221001420 IN Practitioner - Qualified Audiologist 8820156185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio County Hospital CorporationGroup PAC ID 3577477264, 84 clinicians

Practice addresses (Care Compare)

1215 Old Main St
Hartford, KY 42347-1619
Phone 27029854015401

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0394KYMDAddiction (Substance Use Disorder) Counselor
0881KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Onhealthcare LLC CurrentSince Aug 1, 2017 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Onhealthcare, LLC Current Accepting new patients
Ohio County Hospital Corporation CurrentSince Mar 1, 2022 Accepting new patients
Onhealthcare, LLC Audiologist CurrentSince Aug 1, 2017 Accepting new patients
Ohio County Hospital Corporation CurrentSince Mar 1, 2022 Accepting new patients
Onhealthcare LLC Past Accepting new patients

Locations

8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 554-0555

1313 N Main St
Beaver Dam, KY 42320
Phone (270) 274-9928

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

1215 Old Main St
Hartford, KY 42347
Phone (270) 298-5401

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

2841 New Hartford Rd
Owensboro, KY 42303
Phone (270) 691-6161

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1245404425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CLINIC DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOSPITAL DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311658",
            "telephone_number": "270-326-4800",
            "fax_number": "270-326-4820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Old Main St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "KY",
            "postal_code": "423471619",
            "country_code": "US",
            "telephone_number": "270-730-5344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRISKILL",
        "first_name": "SUSAN",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "0881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TROVER CLINIC",
            "identifier": "000000778279",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01094486",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.