Marywood University

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MARYWOOD UNIVERSITY

Practice address

2300 Adams Ave
McGowan Center
Scranton, PA 18509-1598

Phone

(570) 348-6299

Fax

(570) 961-4708

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Tammy McHale

Title

Vice President Business Affairs

Phone

(570) 348-6222

Specialties & licenses 1

Addresses

Other names 1

• Marywood University Audiology Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Marywood University2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Marywood University

  • Sports Medicine (Emergency Medicine) Physician
  • Scranton, PA
  • NPI 1316131360
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Marywood University

  • Sports Medicine (Emergency Medicine) Physician
  • Scranton, PA
  • NPI 1316131360
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaitlyn Jolene Froese, AUD

  • Audiologist-Hearing Aid Fitter
  • Scranton, PA
  • NPI 1629645213
  Medicare reassignment NPD
• Shelby Wynette Yeager, ATC

  • Athletic Trainer
  • Scranton, PA
  • NPI 1992831036
  NPD

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1316019144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 ADAMS AVE.",
            "address_2": "MCGOWAN CENTER",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091598",
            "telephone_number": "570-348-6299",
            "fax_number": "570-961-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 ADAMS AVE",
            "address_2": "MCGOWAN CENTER",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091598",
            "telephone_number": "570-348-6299",
            "fax_number": "570-961-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYWOOD UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "MCHALE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "VICE PRESIDENT BUSINESS AFFAIRS",
        "authorized_official_telephone_number": "570-348-6222"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marywood University Audiology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rafael Martinez, MD
• Joseph Bernard Martzen Jr., DPT
• Julie J Marvania, MD
• Mary Jane Cosgrove, P.C.
• Sonia Maryam
• Marywood University
• Mashal Mashal, M.D.
• Rebecca Masko
• Anna Maslar, MA, NCC
• Maternal & Family Health Services Inc

• Speech-Language Pathologist in Scranton, PA
• Providers in Scranton, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.