Active NPI
Christine B Cloonan, MA CCCA
- Audiologist
- Bel Air, MD
National Provider Identifier
1679605133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 00851
- Practice address
- 520 Upper Chesapeake Drive
Suite 206
Bel Air, MD 21014 - Phone
- (410) 879-9100
- Fax
- (410) 879-0227
- NPI assigned
- Mar 11, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 00851 | MD | Primary |
Addresses
Primary practice location
520 Upper Chesapeake Drive
Suite 206
Bel Air, MD 21014
Mailing address
520 Upper Chesapeake Drive
Suite 206
Bel Air, MD 21014
Phone (410) 879-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
456 Alliance St
Havre de Grace, MD 21078-3559
Phone (410) 939-1819
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.58 of 100
- Quality
- 82.37
- Improvement activities
- 40
- Cost
- 78.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Bay ENT & Audiology Group LLC | Audiologist | Current | Accepting new patients |
Locations
520 Upper Chesapeake Dr
Ste 206
Bel Air, MD 21014
Phone (410) 879-9100
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": "1173571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679605133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 UPPER CHESAPEAKE DRIVE",
"address_2": "SUITE 206",
"city": "BEL AIR",
"state": "MD",
"postal_code": "21014",
"telephone_number": "410-879-9100",
"fax_number": "410-879-0227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 UPPER CHESAPEAKE DRIVE",
"address_2": "SUITE 206",
"city": "BEL AIR",
"state": "MD",
"postal_code": "21014",
"telephone_number": "410-879-9100",
"fax_number": "410-879-0227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOONAN",
"first_name": "CHRISTINE",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "MA CCCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "00851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
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.