Anne M Baker, AU.D.
Individual provider Active NPI Audiologist · Salem, OH
NPI 1477537967 · NPPES record last updated May 3, 2010
Key facts
- NPI
- 1477537967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- A01065 (OH)
- Practice address
- 980 W State St
Salem, OH 44460-2017 - Phone
- (330) 337-3332
- Fax
- (330) 337-9332
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Kent State University
Practice addresses (Care Compare)
1325 Theatre Dr
A126 Center for the Performing Arts
Kent, OH 44242-0001
Phone (330) 672-2672
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050314000488 | OH | Practitioner - Qualified Audiologist | 8325093305 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kent State University | Current |
Accepting new patients |
Locations
1325 Theatre Dr A126 Ctr For The Performing Arts
Kent, OH 44242
Phone (330) 672-0250
1325 Theatre Dr
Kent, OH 44242
Phone (330) 672-0259
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A01065 | OH | Yes |
Addresses
Primary practice location
980 W State St
Salem, OH 44460-2017
Mailing address
1032 Boardman-Canfield Rd.
Suite 102
Boardman, OH 44515
Phone (330) 726-3339
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000233661 | Other | OH | ANTHEM |
| 000000233661 | Other | OH | ANTHEM BCBS |
| 2915199 | Medicaid | OH | |
| 2097985 | Medicaid | OH |
Other names
- Miss Anne M Moliterno
Other providers in Salem, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.