Individual provider Active NPI

Laurel Elizabeth Smith, AUD

  • Audiologist
  • Canton, OH
National Provider Identifier
1558052076
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A.02438 Issued in OH
Practice address
4912 Higbee Ave NW Ste 200
Canton, OH 44718-2599
Phone
(330) 492-2844
NPI assigned
May 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A.02438 OH Primary

Addresses

Primary practice location

4912 Higbee Ave NW Ste 200
Canton, OH 44718-2599

Mailing address

1280 Concord St NW
Massillon, OH 44646-2269
Phone (330) 685-3263

Other practice location 1

9000 N Main St Ste 319
Englewood, OH 45415-1185
Phone (937) 832-3582

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718003191 OH Practitioner - Qualified Audiologist 3870953151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Head and Neck Surgeons, IncGroup PAC ID 2860426376, 10 clinicians

Practice addresses (Care Compare)

4912 Higbee Ave NW
Suite 200
Canton, OH 44718-2599
Phone (330) 492-2844

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Ohio ENT Specialists Inc CurrentSince Jun 7, 2023 Accepting new patients
Ohio Head and Neck Surgeons, Inc CurrentSince Jul 1, 2024 Accepting new patients
Union Hospital Medical Services, LLC PastSince Jul 1, 2024 Accepting new patients

Locations

4912 Higbee Ave NW
Ste 200
Canton, OH 44718
Phone (330) 492-2844

1222 S Patterson Blvd
Ste 400
Dayton, OH 45402
Phone (937) 496-2600

9000 N Main St
Ste 319
Englewood, OH 45415
Phone (937) 832-3582

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDIFCD

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.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1558052076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 CONCORD ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462269",
            "telephone_number": "330-685-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4912 HIGBEE AVE NW STE 200",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182599",
            "telephone_number": "330-492-2844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 N Main St Ste 319",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151185",
            "country_code": "US",
            "telephone_number": "937-832-3582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAUREL",
        "middle_name": "ELIZABETH",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.02438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.