Active NPI
Trevor Paul Courouleau, AU.D.
- Audiologist
- Stillwater, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 351
- Practice address
- 42 Murray Hall
Stillwater, OK 74078-0001 - Phone
- (405) 341-1800
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 351 | OK | Primary |
Addresses
Primary practice location
42 Murray Hall
Stillwater, OK 74078-0001
Mailing address
42 Murray Hall
Stillwater, OK 74078-1215
Phone (405) 744-6021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
042 Murray
Osu Speech Lang Hearing Clinic
Stillwater, OK 74078-0001
Phone (405) 744-8939
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.91 of 100
- Quality
- 77.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 351 | OK | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Regents of the University of Oklahoma - Allied Health Clinics | Current | Accepting new patients | |
| Oklahoma State University | Current | Accepting new patients |
Locations
1200 N Stonewall Ave
Oklahoma City, OK 73117
Phone (405) 271-2866
042 Murray
Stillwater, OK 74078
Phone (405) 744-6021
2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980
Dept 2563
Tulsa, OK 74182
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.
-
- Speech-Language Pathologist
- Stillwater, OK
- NPI 1700994878
-
- Rehabilitation Clinic/Center
- Oklahoma City, OK
- NPI 1740389626
-
- Clinical Medical Laboratory
- Tulsa, OK
- NPI 1326495433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1376598102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 MURRAY HALL",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740781215",
"telephone_number": "405-744-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 MURRAY HALL",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740780001",
"telephone_number": "405-341-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUROULEAU",
"first_name": "TREVOR",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OK",
"license": "351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.