Active NPI
Arlene Marie Petruso, BS
- Hearing Instrument Specialist
- Meadville, PA
National Provider Identifier
1699891127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- FO2524
- Practice address
- 937 Park Ave
Meadville, PA 16335-3334 - Phone
- (814) 724-6211
- Fax
- (814) 337-0188
- NPI assigned
- Mar 22, 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | FO2524 | PA | Primary |
Addresses
Primary practice location
937 Park Ave
Meadville, PA 16335-3334
Mailing address
13958 Denoon Ave
Meadville, PA 16335-8751
Phone (814) 333-9820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219759 | Other | PA | HIGHMARK |
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)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FO2524 | PA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R. W. Petruso Hearing and Audiology Center, Inc | 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.
-
- Hearing Aid Equipment
- Meadville, PA
- NPI 1619010733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699891127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13958 DENOON AVE",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163358751",
"telephone_number": "814-333-9820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 PARK AVE",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353334",
"telephone_number": "814-724-6211",
"fax_number": "814-337-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRUSO",
"first_name": "ARLENE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "PA",
"license": "FO2524",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "219759",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Meadville, PA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.