Individual provider Active NPI

Emily S Bubnick

  • Audiologist
  • Hamilton, OH
National Provider Identifier
1275637902
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A00822 Issued in OH
Practice address
402 Main St
Hamilton, OH 45013-4717
Phone
(513) 863-3264
Fax
(513) 285-7631
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A00822 OH Primary

Addresses

Primary practice location

402 Main St
Hamilton, OH 45013-4717

Mailing address

402 Main St
Hamilton, OH 45013-4717
Phone (513) 863-3264

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061018000350 OH Practitioner - Qualified Audiologist 9234135070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2201 NW Washington Blvd
Suite A2
Hamilton, OH 45013-5835
Phone (513) 863-3264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A00822OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Hearing Aid, Inc. CurrentSince Nov 18, 1996 Accepting new patients
John Balko and Associates Inc Audiologist PastSince Jan 1, 2000 Accepting new patients

Locations

2201 NW Washington Blvd
Ste A2
Hamilton, OH 45013
Phone (513) 863-3264

402 Main St
Hamilton, OH 45013
Phone (513) 772-2999

Organizations & group practices 3

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1275637902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MAIN ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450134717",
            "telephone_number": "513-863-3264",
            "fax_number": "513-285-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MAIN ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450134717",
            "telephone_number": "513-863-3264",
            "fax_number": "513-285-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBNICK",
        "first_name": "EMILY",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A00822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.