Mary E Sostarich, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

640 Issued in KS

Practice address

1301 S Main St
Ottawa, KS 66067-3537

Phone

(630) 352-8638

NPI assigned

Aug 4, 2006

Last updated

Nov 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1699783779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 SILVERSTONE DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660498500",
            "telephone_number": "630-352-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S MAIN ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673537",
            "telephone_number": "630-352-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSTARICH",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "640",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "KS",
            "license": "771",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "014010003",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100228600B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Ottawa, KS
• Providers in Ottawa, KS by specialty
• Audiologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.