Individual provider Active NPI

Lawrence Michael Schmidbauer, AUD

  • Audiologist
  • Tiffin, OH
National Provider Identifier
1598894818
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A00339 Issued in OH
Practice address
716 W Market St
Tiffin, OH 44883-2582
Phone
(419) 448-1155
Fax
(419) 448-1868
NPI assigned
Mar 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A00339 OH Primary

Addresses

Primary practice location

716 W Market St
Tiffin, OH 44883-2582

Mailing address

716 W Market St
Tiffin, OH 44883-2582
Phone (419) 448-1155

Other identifiers 1

IdentifierTypeStateIssuer
0769860MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120305000158 OH Practitioner - Qualified Audiologist 1759540156 Practice locations: Tiffin, OH

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

716 W Market St
Tiffin, OH 44883-2582
Phone (419) 448-1155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598894818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 W MARKET ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832582",
            "telephone_number": "419-448-1155",
            "fax_number": "419-448-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 W MARKET ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832582",
            "telephone_number": "419-448-1155",
            "fax_number": "419-448-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDBAUER",
        "first_name": "LAWRENCE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A00339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0769860",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.