Individual provider Active NPI

Mark S Norin, MA FAAA

  • Audiologist
  • Fairlawn, OH
National Provider Identifier
1699893677
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A01160 Issued in OH
Practice address
2640 W Market St
Suite 303
Fairlawn, OH 44333-4202
Phone
(330) 253-2221
Fax
(330) 867-1748
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A01160 OH Primary

Addresses

Primary practice location

2640 W Market St
Suite 303
Fairlawn, OH 44333-4202

Mailing address

47 Waldorf Dr
Akron, OH 44313
Phone (330) 836-6815

Other identifiers 2

IdentifierTypeStateIssuer
0097603MedicaidOH
000000259500OtherOHANTHEM BCBS PLANS

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
A01160OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jay I Norin and Assoc Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699893677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WALDORF DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44313",
            "telephone_number": "330-836-6815",
            "fax_number": "330-867-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 W MARKET ST",
            "address_2": "SUITE 303",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334202",
            "telephone_number": "330-253-2221",
            "fax_number": "330-867-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORIN",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MA FAAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A01160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097603",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PLANS",
            "identifier": "000000259500",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.