Active NPI
Stephen Dryanski, AUD
- Audiologist
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2890
- Practice address
- 1000 Welch Rd
Suite 100
Palo Alto, CA 94304-1811 - Phone
- (650) 498-2739
- NPI assigned
- Aug 25, 2009
- Sex
- Male
- 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 | 2890 | CA | Primary |
Addresses
Primary practice location
1000 Welch Rd
Suite 100
Palo Alto, CA 94304-1811
Mailing address
350 Budd Ave
Apartment Q6
Campbell, CA 95008-4064
Phone (480) 452-2349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1360 Upper Hembree Rd
Suite 201B
Roswell, GA 30076-1230
Phone (770) 475-3361
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients |
Locations
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
1360 Upper Hembree Rd
Ste 201B
Roswell, GA 30076
Phone (770) 225-1874
Interoperability endpoints
- sdryanski145988@directwellstar.org
Organizations & group practices 3
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 WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365033600000",
"number": "1477786440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 BUDD AVE",
"address_2": "APARTMENT Q6",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950084064",
"telephone_number": "480-452-2349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WELCH RD",
"address_2": "SUITE 100",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041811",
"telephone_number": "650-498-2739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRYANSKI",
"first_name": "STEPHEN",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-25",
"last_updated": "2013-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "2890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.