Active NPI
Laurel Wilson, AUD
- Audiologist
- Wooster, OH
National Provider Identifier
1316613011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A.02311
- Practice address
- 1749 Cleveland Rd
Wooster, OH 44691-2203 - Phone
- (330) 264-9699
- NPI assigned
- Aug 22, 2021
- 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 | A.02311 | OH | Primary |
Addresses
Primary practice location
1749 Cleveland Rd
Wooster, OH 44691-2203
Mailing address
291 Country Club Dr NE
Warren, OH 44484-4654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3893 E Market St
Warren, OH 44484-4706
Phone (330) 856-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A.02311 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren Otologic Group, Inc | Current | Accepting new patients | |
| Lippy Group Hearing Aid Center | Past | Accepting new patients |
Locations
3893 E Market St
Warren, OH 44484
Phone (330) 856-4000
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.
-
- Otolaryngology Physician
- Warren, OH
- NPI 1720023351
-
- Otolaryngology Physician
- Wooster, OH
- NPI 1427110527
-
- Hearing Aid Equipment
- Warren, OH
- NPI 1679712657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629590400000",
"number": "1316613011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 COUNTRY CLUB DR NE",
"city": "WARREN",
"state": "OH",
"postal_code": "444844654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1749 CLEVELAND RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446912203",
"telephone_number": "330-264-9699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LAUREL",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-22",
"last_updated": "2021-08-22",
"certification_date": "2021-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A.02311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; 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.