Active NPI
Tara A Pagotto, AU.D.
- Audiologist
- Scranton, PA
National Provider Identifier
1528158482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT000971L
- Practice address
- 401 Adams Ave
Suite 305
Scranton, PA 18510-2025 - Phone
- (570) 344-4327
- Fax
- (570) 344-7822
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT000971L | PA | Primary |
| Assistive Technology Practitioner Audiologist | 231HA2400X | AT000971L | PA | |
| Assistive Technology Supplier Audiologist | 231HA2500X | AT000971L | PA | |
| Audiologist-Hearing Aid Fitter | 237600000X | AT000971L | PA |
Addresses
Primary practice location
401 Adams Ave
Suite 305
Scranton, PA 18510-2025
Mailing address
401 Adams Ave
Suite 305
Scranton, PA 18510-2025
Phone (570) 344-4327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT000971L | PA | MD | Assistive Technology Supplier Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| MLM USA LLC | Audiologist | Past | Accepting new patients |
| Hearusa Inc | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Dublin, OH
- NPI 1164707998
-
- Audiologist-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1528158482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 ADAMS AVE",
"address_2": "SUITE 305",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185102025",
"telephone_number": "570-344-4327",
"fax_number": "570-344-7822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 ADAMS AVE",
"address_2": "SUITE 305",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185102025",
"telephone_number": "570-344-4327",
"fax_number": "570-344-7822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGOTTO",
"first_name": "TARA",
"middle_name": "A",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT000971L",
"primary": true
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "PA",
"license": "AT000971L",
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "PA",
"license": "AT000971L",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "PA",
"license": "AT000971L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.