Active NPI
Patti Kaires, MA CCC AUD
- Audiologist
- Sylvania, OH
National Provider Identifier
1679624928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A00773
- Practice address
- 5200 Harroun Rd
Sylvania, OH 43560-2168 - Phone
- (419) 824-1444
- Fax
- (419) 824-1743
- NPI assigned
- Jan 15, 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 | A00773 | OH | Primary |
Addresses
Primary practice location
5200 Harroun Rd
Sylvania, OH 43560-2168
Mailing address
333 N Summit St Ste 700
Toledo, OH 43604-1531
Phone (419) 824-1444
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06751 | Other | OH | PARAMOUNT |
| PENDING | Other | HEALTH NET TRICARE | |
| 5187323 | Medicaid | MI | |
| PENDING | Other | OH | AETNA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowling Green State University | Past | Accepting new patients | |
| Promedica Central Physicians | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Bowling Green, OH
- NPI 1699707687
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1679624928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST STE 700",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041531",
"telephone_number": "419-824-1444",
"fax_number": "419-824-1743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 HARROUN RD",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602168",
"telephone_number": "419-824-1444",
"fax_number": "419-824-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAIRES",
"first_name": "PATTI",
"credential": "MA CCC AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A00773",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "06751",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET TRICARE",
"identifier": "PENDING",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5187323",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "PENDING",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.