Kenneth Ernest Marciniak, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2010020892 Issued in MO

Practice address

607 S New Ballas Rd Ste 2300
Saint Louis, MO 63141-8234

Phone

(314) 251-6394

Fax

(314) 251-4235

NPI assigned

Jun 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Hospitals East CommunitiesGroup PAC ID 1658276811, 92 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mercy Hospitals East Communities

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1427098169
  Medicare reassignment Care Compare group NPD
• Mercy Hospitals East Communities

  • General Acute Care Hospital
  • Washington, MO
  • NPI 1285664177
  Medicare reassignment NPD
• Mercy Hospitals East Communities

  • Rural Health Clinic/Center
  • Washington, MO
  • NPI 1104912997
  NPD
• Mercy Hospitals East Communities

  • Audiologist
  • Saint Louis, MO
  • NPI 1255790762
  NPD
• Mercy Hospitals East Communities

  • Land Ambulance
  • Saint Louis, MO
  • NPI 1881329902
  NPD

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477864072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 OLD DES PERES RD",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631311865",
            "telephone_number": "314-722-4280",
            "fax_number": "314-729-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S NEW BALLAS RD STE 2300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418234",
            "telephone_number": "314-251-6394",
            "fax_number": "314-251-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINIAK",
        "first_name": "KENNETH",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2010020892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477864072",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eleisha R. March, FNP-C
• Natalie C March
• Lyudmyla Marchenko
• Jessica Evelyn Marchetto
• Laura Marchi, DNP, FNP-C
• Tracy Anne Marciniak, SLP
• Nicole Marco
• Abby Margaret Marcouiller, P.T.
• Margaret Sopuch Marcrander, M.D.
• Ioana Marcu

• Audiologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Audiologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.