Organization Active NPI

Clarion Audiology Associates

  • Audiologist
  • Clarion, PA
National Provider Identifier
1437287984
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT000138L Issued in PA
Legal business name
CLARION AUDIOLOGY ASSOCIATES
Practice address
180 Greenville Ave
Clarion, PA 16214-1645
Phone
(814) 226-7651
NPI assigned
Feb 28, 2007
Last updated
Apr 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rebecca W Miller, AUDNPI 1649284753
Title
Partner
Phone
(814) 226-7655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT000138L PA Primary

Addresses

Primary practice location

180 Greenville Ave
Clarion, PA 16214-1645

Mailing address

180 Greenville Avenue
Clarion, PA 16214
Phone (814) 226-7655

Other identifiers 2

IdentifierTypeStateIssuer
0011003790001MedicaidPA
0011003790003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071108000010 PA Part B Supplier - Clinic/Group Practice 6103913181 Receives reassigned benefits from 1 practitioner
Practice locations: Clarion, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1437287984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 GREENVILLE AVENUE",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "16214",
            "telephone_number": "814-226-7655",
            "fax_number": "814-226-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 GREENVILLE AVE",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141645",
            "telephone_number": "814-226-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARION AUDIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "814-226-7655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000138L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011003790001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011003790003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.

Verify at the official NPI Registry.