Organization Active NPI

Audiology Inc

  • Audiologist
  • Martinsburg, WV
National Provider Identifier
1518093533
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A0025 Issued in WV
Legal business name
AUDIOLOGY INC
Practice address
400 W King St
Martinsburg, WV 25401-3204
Phone
(304) 267-8220
Fax
(304) 267-4292
NPI assigned
Feb 26, 2007
Last updated
Apr 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Dr. Michael J Zagarella, AU.D.NPI 1386633196
Title
President
Phone
(304) 267-8220

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 A0025 WV Primary

Addresses

Primary practice location

400 W King St
Martinsburg, WV 25401-3204

Mailing address

400 W King St
Martinsburg, WV 25401-3204
Phone (304) 267-8220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040629000795 WV Part B Supplier - Clinic/Group Practice 1456337419 Receives reassigned benefits from 1 practitioner
Practice locations: Martinsburg, WV

National Provider Directory

National Provider Directory

Locations

400 W King St
Martinsburg, WV 25401
Phone (304) 267-8220

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1518093533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W KING ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013204",
            "telephone_number": "304-267-8220",
            "fax_number": "304-267-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W KING ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013204",
            "telephone_number": "304-267-8220",
            "fax_number": "304-267-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "ZAGARELLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-267-8220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WV",
            "license": "A0025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.