Individual provider Active NPI

Maryann Bencin, M.A. CCC/A, FAAA

  • Audiologist
  • Painesville, OH
National Provider Identifier
1588919955
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A00593 Issued in OH
Practice address
1701 Mentor Ave
Suite 5
Painesville, OH 44077-1459
Phone
(440) 357-4327
Fax
(440) 357-4328
NPI assigned
Jul 20, 2012
Last updated
Jan 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A00593 OH Primary

Addresses

Primary practice location

1701 Mentor Ave
Suite 5
Painesville, OH 44077-1459

Mailing address

1701 Mentor Ave
Suite 5
Painesville, OH 44077-1459
Phone (440) 357-4327

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
Credentials
Master of Arts

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1588919955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MENTOR AVE",
            "address_2": "SUITE 5",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771459",
            "telephone_number": "440-357-4327",
            "fax_number": "440-357-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MENTOR AVE",
            "address_2": "SUITE 5",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771459",
            "telephone_number": "440-357-4327",
            "fax_number": "440-357-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCIN",
        "first_name": "MARYANN",
        "credential": "M.A. CCC/A, FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A00593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.