Active NPI
Kimberly Ann Combs, AUD DOCTOR OF AUDIOL
- Audiologist
- Mason, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A0901
- Practice address
- 6900 Tylersville Rd Ste B
Mason, OH 45040-1593 - Phone
- (513) 701-9322
- Fax
- (513) 701-9324
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- 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 | A0901 | OH | Primary |
Addresses
Primary practice location
6900 Tylersville Rd Ste B
Mason, OH 45040-1593
Mailing address
6900 Tylersville Rd Ste B
Mason, OH 45040-1593
Phone (513) 701-9322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000878155 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, SC
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0901 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accuquest Hearing Center, LLC | Audiologist | Current | Accepting new patients |
| Southwest Ohio ENT Specialists Inc | Past | Accepting new patients | |
| Lifestyle Hearing Corporation USA Inc. | Audiologist | Past | Accepting new patients |
| Black'S Hearing Aid Services, Inc. | Audiologist | Past | Accepting new patients |
Locations
2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120
5824 Wilmington Pike
Ste 1G
Centerville, OH 45459
Phone (937) 312-9696
7271 N Main St
Ste 5
Dayton, OH 45415
Phone (937) 276-5272
5917 Hoover Rd
Grove City, OH 43123
Phone (614) 991-5948
6929 W 130th St
Ste 201
Parma Heights, OH 44130
Phone (440) 886-1552
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDIFCD
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.
-
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1629261078
Audiologist, OH
-
- Audiologist
- Centerville, OH
- NPI 1659618056
-
- Otolaryngology Physician
- Dayton, OH
- NPI 1255301560
-
- Audiologist
- Hilton Headisland, SC
- NPI 1003016668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409184000000",
"number": "1386767150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 TYLERSVILLE RD STE B",
"city": "MASON",
"state": "OH",
"postal_code": "450401593",
"telephone_number": "513-701-9322",
"fax_number": "513-701-9324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 TYLERSVILLE RD STE B",
"city": "MASON",
"state": "OH",
"postal_code": "450401593",
"telephone_number": "513-701-9322",
"fax_number": "513-701-9324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBS",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "AUD DOCTOR OF AUDIOL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2014-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A0901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000878155",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.