Angela Wendeborn, M.A., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

51083 Issued in TX

Practice address

1740 W 27TH St
Suite 234
Houston, TX 77008-1440

Phone

(713) 802-9779

Fax

(713) 802-2289

NPI assigned

Apr 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Memorial NW Otolaryngology Head & Neck Surgery Associates

  • Otolaryngology Physician
  • Houston, TX
  • NPI 1184707788
  NPD (past)

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1548433659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W 27TH ST",
            "address_2": "SUITE 234",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081440",
            "telephone_number": "713-802-9779",
            "fax_number": "713-802-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W 27TH ST",
            "address_2": "SUITE 234",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081440",
            "telephone_number": "713-802-9779",
            "fax_number": "713-802-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDEBORN",
        "first_name": "ANGELA",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51083",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "51083",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY LICENSE NUMBER",
            "identifier": "51083",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "00575U",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1184707788",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan Weltzien, ED.D.
• Paul Okitangolo Wembolenga
• Wemed Clinic
• Michael Paul Jee Wen, MD
• Nina Yu Wen, AA
• David Lee Wendeborn, PT
• Kirsten Wendeburg, LCDC
• Leah Wendel, OTR/L
• Hans O Wendenburg, M.D.
• Wender Jiang DDS PLLC

• Audiologist in Houston, TX
• Providers in Houston, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.