Individual provider Active NPI

Paula Jean Sandoe, AUDIOLOGIST

  • Audiologist
  • Beaver, PA
National Provider Identifier
1285666065
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT001162L Issued in PA
Practice address
195 Boundry LN Ste 1
Beaver, PA 15009-2992
Phone
(724) 775-4327
NPI assigned
Jul 6, 2006
Last updated
Dec 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80931 TX
Audiologist 231H00000X AT001162L PA Primary

Addresses

Primary practice location

195 Boundry LN Ste 1
Beaver, PA 15009-2992

Mailing address

2501 Cottontail LN
Somerset, NJ 08873-5125
Phone (732) 529-7120

Other practice location 1

4544 Post Oak Place Dr
#380
Houston, TX 77027-3161
Phone (713) 255-0035

Other identifiers 3

IdentifierTypeStateIssuer
04973OtherPANATIONAL EAR CARE PLAN
00226393OtherPAHIGHMARK
2500952OtherPAAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140818000521 PA Practitioner - Qualified Audiologist 7517184484 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Chang MD PC CurrentSince Apr 1, 2020 Accepting new patients
Alexander Chang MD PC CurrentSince Apr 1, 2020 Accepting new patients
Texas Balance and Dizziness LLC Audiologist PastSince Feb 27, 2017 Accepting new patients
Straka & McQuone Inc Past Accepting new patients

Locations

3380 Washington Rd
McMurray, PA 15317
Phone (724) 941-3456

2101 Greentree Rd
Ste 105
Pittsburgh, PA 15220
Phone (412) 429-2020

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1285666065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 COTTONTAIL LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735125",
            "telephone_number": "732-529-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 BOUNDRY LN STE 1",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092992",
            "telephone_number": "724-775-4327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4544 Post Oak Place Dr",
            "address_2": "#380",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770273161",
            "country_code": "US",
            "telephone_number": "713-255-0035",
            "fax_number": "713-255-0039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOE",
        "first_name": "PAULA",
        "middle_name": "JEAN",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80931",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT001162L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL EAR CARE PLAN",
            "identifier": "04973",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "00226393",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2500952",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.