Active NPI
Rebecca A Donchess, MA
- Audiologist
- Warren, OH
National Provider Identifier
1689646242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A 01184
- Practice address
- 1950 Niles Cortland Rd NE
Suite 6
Warren, OH 44484-1077 - Phone
- (330) 394-3300
- Fax
- (330) 609-6190
- NPI assigned
- Feb 7, 2006
- 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 | A 01184 | OH | Primary |
Addresses
Primary practice location
1950 Niles Cortland Rd NE
Suite 6
Warren, OH 44484-1077
Mailing address
1032 Boardman-Canfield Rd
# 102
Youngstown, OH 44512
Phone (330) 726-3339
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000226441 | Other | OH | ANTHEM |
| 04600 | Other | OH | NATION EAR CARE PLAN |
| 0416651 | Medicaid | OH | |
| 000000503369 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070517000493 | OH | Practitioner - Qualified Audiologist | 3678670189 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A 01184 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Health Mi LLC | Audiologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Lutz Hearing Aid Center
- Hearing Aid Equipment
- Norton Shores, MI
- NPI 1669872453
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689646242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 BOARDMAN-CANFIELD RD",
"address_2": "# 102",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "44512",
"telephone_number": "330-726-3339",
"fax_number": "330-726-0482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 NILES CORTLAND RD NE",
"address_2": "SUITE 6",
"city": "WARREN",
"state": "OH",
"postal_code": "444841077",
"telephone_number": "330-394-3300",
"fax_number": "330-609-6190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONCHESS",
"first_name": "REBECCA",
"middle_name": "A",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A 01184",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000226441",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATION EAR CARE PLAN",
"identifier": "04600",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0416651",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000503369",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warren, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.