Individual provider Active NPI

Aurion Louise Dwyer, AU.D

  • Audiologist
  • Clinton, MD
National Provider Identifier
1336398403
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
00486 Issued in MD
Practice address
10401 Hospital Dr
Suite G4
Clinton, MD 20735-3110
Phone
(301) 877-0891
Fax
(301) 856-0536
NPI assigned
Sep 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 00486 MD Primary

Addresses

Primary practice location

10401 Hospital Dr
Suite G4
Clinton, MD 20735-3110

Mailing address

10403 Hospital Dr
Suite G-4
Clinton, MD 20735-3134
Phone (301) 856-3019

Other identifiers 2

IdentifierTypeStateIssuer
624316OtherDCHIGHMARK MEDICARE GROUP #
1851473722OtherMDGROUP NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081204000881 DC Practitioner - Qualified Audiologist 5890856199 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00486MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Audiology Center Audiologist CurrentSince Jun 1, 2012 Accepting new patients
Medical & Surgical Clinics of Southern Maryland Inc Past Accepting new patients
Carolyn Wyatt Audiology Services Inc Audiologist Past Accepting new patients

Locations

8218 Wisconsin Ave
Ste 106
Bethesda, MD 20814
Phone (301) 656-1933

10401 Hospital Dr
Ste G4
Clinton, MD 20735
Phone (301) 877-0891

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.

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1336398403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10403 HOSPITAL DR",
            "address_2": "SUITE G-4",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353134",
            "telephone_number": "301-856-3019",
            "fax_number": "301-856-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 HOSPITAL DR",
            "address_2": "SUITE G4",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353110",
            "telephone_number": "301-877-0891",
            "fax_number": "301-856-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "AURION",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "00486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK MEDICARE GROUP #",
            "identifier": "624316",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1851473722",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.