Active NPI
Mary Elizabeth Rybak Rice, AU.D.
- Audiologist
- Saint Peters, MO
National Provider Identifier
1386959443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2010020778
- Practice address
- 4790 Executive Centre Pkwy
Saint Peters, MO 63376-1606 - Phone
- (636) 441-3100
- NPI assigned
- Aug 13, 2010
- Last updated
- Aug 13, 2010
- 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 | 2010020778 | MO | Primary |
Addresses
Primary practice location
4790 Executive Centre Pkwy
Saint Peters, MO 63376-1606
Mailing address
1910 Tower Grove Ave
Apt. 2 South
Saint Louis, MO 63110-3573
Phone (314) 498-1483
Other names 1
- Mary Elizabeth Rybak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010020778 | MO | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest ENT Centre, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Saint Peters, MO
- NPI 1932236650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281657600000",
"number": "1386959443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 TOWER GROVE AVE",
"address_2": "APT. 2 SOUTH",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631103573",
"telephone_number": "314-498-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4790 EXECUTIVE CENTRE PKWY",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761606",
"telephone_number": "636-441-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICE",
"first_name": "MARY",
"middle_name": "ELIZABETH RYBAK",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-13",
"last_updated": "2010-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "2010020778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "RYBAK",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.