Active NPI
Mary Svec, MS, CCC-A/SLP
- Audiologist
- Wood River, IL
National Provider Identifier
1396108833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147.000222
- Practice address
- 975 E Edwardsville Rd
Wood River, IL 62095-1823 - Phone
- (618) 259-0700
- Fax
- (618) 259-0761
- NPI assigned
- Apr 1, 2016
- 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 | 147.000222 | IL | Primary |
Addresses
Primary practice location
975 E Edwardsville Rd
Wood River, IL 62095-1823
Mailing address
975 E Edwardsville Rd
Wood River, IL 62095-1823
Phone (618) 259-0700
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147.000222 | IL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson's Auditory Sales & Service, Inc. | Past | Accepting new patients | |
| Johnson's Auditory Sales & Service, Inc. | Audiologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Johnson's Hearing Center
- Hearing Instrument Specialist
- Wood River, IL
- NPI 1740334432
Audiologist
-
dba Johnson's Hearing Center
- Hearing Instrument Specialist
- Wood River, IL
- NPI 1851927578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1396108833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 E EDWARDSVILLE RD",
"city": "WOOD RIVER",
"state": "IL",
"postal_code": "620951823",
"telephone_number": "618-259-0700",
"fax_number": "618-259-0761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 E EDWARDSVILLE RD",
"city": "WOOD RIVER",
"state": "IL",
"postal_code": "620951823",
"telephone_number": "618-259-0700",
"fax_number": "618-259-0761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SVEC",
"first_name": "MARY",
"credential": "MS, CCC-A/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-01",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147.000222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wood River, IL
- Claud R Snowden, OD
- Southern Illinois Treatment Center, LLC (MedMark Treatment Centers Wood River)
- Kathleen Rose Steiner, RN
- Madge Strohmeier, SLP
- Dale Suhrenbrock, RPH
- Madisyn Taylor Swift
- Angela Leigh Szymarek, DT
- Michelle Talbott
- The Listening Loft PLLC
- The William M Bedell Achievement and Resource Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.