Active NPI
Traci Rochelle Hamilton, AUD
- Audiologist
- Greensburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT006084
- Practice address
- 433 Frye Farm Rd Ste 5
Central Medical Arts BLDG.
Greensburg, PA 15601-7920 - Phone
- (724) 539-3750
- Fax
- (724) 539-3751
- NPI assigned
- Aug 22, 2008
- 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 | AT006084 | PA | Primary |
Addresses
Primary practice location
433 Frye Farm Rd Ste 5
Central Medical Arts BLDG.
Greensburg, PA 15601-7920
Mailing address
433 Frye Farm Rd Ste 5
Central Medical Arts BLDG.
Greensburg, PA 15601-7920
Phone (724) 539-3750
Other names 1
- Traci Mick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT006084 | PA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients |
Locations
1377 Locust Ave
Fairmont, WV 26554
Phone (304) 363-3500
1188 Pineview Dr
Morgantown, WV 26505
Phone (304) 599-3959
255 Scott Ave
Morgantown, WV 26508
Phone 304285710145210
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
Interoperability endpoints
- thamilton27494@direct.wvuhsdirect.com
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.
-
dba University Health Associates
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382400000000",
"number": "1275780058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 FRYE FARM RD STE 5",
"address_2": "CENTRAL MEDICAL ARTS BLDG.",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156017920",
"telephone_number": "724-539-3750",
"fax_number": "724-539-3751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 FRYE FARM RD STE 5",
"address_2": "CENTRAL MEDICAL ARTS BLDG.",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156017920",
"telephone_number": "724-539-3750",
"fax_number": "724-539-3751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "TRACI",
"middle_name": "ROCHELLE",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-22",
"last_updated": "2013-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT006084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACI",
"last_name": "MICK",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.