Active NPI
Susan L Jaros
- Audiologist
- Boardman, OH
National Provider Identifier
1336303692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A00883
- Practice address
- 6614 Southern Blvd
Boardman, OH 44512-3455 - Phone
- (330) 726-8855
- Fax
- (330) 726-9182
- NPI assigned
- Jul 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | A00883 | OH | |
| Audiologist | 231H00000X | A00883 | OH | Primary |
Addresses
Primary practice location
6614 Southern Blvd
Boardman, OH 44512-3455
Mailing address
6614 Southern Blvd
Boardman, OH 44512-3455
Phone (330) 726-8855
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000168847 | Other | OH | UNISON |
| 11389444 | Other | OH | CAQH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | susanjaros@uhps.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.15 of 100
- Quality
- 82.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00883 | OH | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Past | Accepting new patients |
Locations
3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
Interoperability endpoints
- sjaros43940@ehrdirect.uhhospitals.org
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1336303692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6614 SOUTHERN BLVD",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445123455",
"telephone_number": "330-726-8855",
"fax_number": "330-726-9182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6614 SOUTHERN BLVD",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445123455",
"telephone_number": "330-726-8855",
"fax_number": "330-726-9182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAROS",
"first_name": "SUSAN",
"middle_name": "L",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-16",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "OH",
"license": "A00883",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A00883",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000168847",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11389444",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "susanjaros@uhps.allscriptsdirect.net",
"affiliation": "N",
"address_1": "395 E Market St",
"city": "Akron",
"state": "OH",
"country_code": "US",
"postal_code": "443041542",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.