Active NPI
Angela E Damron, M.A., CCC/A
- Audiologist
- Fairlawn, OH
National Provider Identifier
1356428486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A01531
- Practice address
- 3200 W Market St Ste 108
Fairlawn, OH 44333-3324 - Phone
- (330) 869-9911
- NPI assigned
- Nov 1, 2006
- 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 | A01531 | OH | Primary |
Addresses
Primary practice location
3200 W Market St Ste 108
Fairlawn, OH 44333-3324
Mailing address
3200 W Market St Ste 108
Fairlawn, OH 44333-3324
Phone (330) 869-9911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0105418 | Medicaid | OH |
Other names 1
- Angela E Pratt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01531 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Current | Accepting new patients | |
| Hearusa Inc | Past | Accepting new patients | |
| Belleober Inc | Audiologist | Past | Accepting new patients |
Locations
3200 W Market St
Fairlawn, OH 44333
Phone (330) 836-7702
3200 W Market St
Ste 108
Fairlawn, OH 44333
Phone (330) 869-9911
6789 Ridge Rd
Ste 202
Parma, OH 44129
Phone (330) 748-8062
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.
-
- Audiologist-Hearing Aid Fitter
- Dublin, OH
- NPI 1164707998
-
- Audiologist
- Fairlawn, OH
- NPI 1134269624
-
- Audiologist-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1356428486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 W MARKET ST STE 108",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333324",
"telephone_number": "330-869-9911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 W MARKET ST STE 108",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333324",
"telephone_number": "330-869-9911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMRON",
"first_name": "ANGELA",
"middle_name": "E",
"credential": "M.A., CCC/A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A01531",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0105418",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "PRATT",
"middle_name": "E",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.