Individual provider Active NPI

Daneen Jo Jabbour, AU.D.

  • Audiologist
  • Akron, OH
National Provider Identifier
1669451183
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-01144 Issued in OH
Practice address
799 White Pond Dr Ste D
Akron, OH 44320-1189
Phone
(330) 665-5200
Fax
(330) 665-5400
NPI assigned
Jan 12, 2006
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-01144 OH Primary
Audiologist 231H00000X

Addresses

Primary practice location

799 White Pond Dr Ste D
Akron, OH 44320-1189

Mailing address

PO Box 4082
Cuyahoga Falls, OH 44223-4082
Phone (330) 665-5200

Other identifiers 2

IdentifierTypeStateIssuer
2375460MedicaidOH
A-01144OtherOHOHIO SPEECH AND HEARING PROFESSIONAL BOARD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100422000625 OH Practitioner - Qualified Audiologist 6507993557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

799 White Pond Dr
Suite D
Akron, OH 44320-1189
Phone (330) 665-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A-01144OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Hearing Health Inc Audiologist CurrentSince Jun 1, 2002 Accepting new patients
Michael Romaniuk PHD LLC CurrentSince Oct 29, 2023 Accepting new patients

Locations

799 White Pond Dr
Ste D
Akron, OH 44320
Phone (330) 665-5200

3600 W Market St
Ste 200
Fairlawn, OH 44333
Phone (330) 666-2700

Organizations & group practices 2

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1669451183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4082",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442234082",
            "telephone_number": "330-665-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 WHITE POND DR STE D",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201189",
            "telephone_number": "330-665-5200",
            "fax_number": "330-665-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABBOUR",
        "first_name": "DANEEN",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A-01144",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2375460",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO SPEECH AND HEARING PROFESSIONAL BOARD",
            "identifier": "A-01144",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.