Individual provider Active NPI

Samantha Cohen, AUD

  • Audiologist
  • MC Murray, PA
National Provider Identifier
1710210463
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT005826 Issued in PR
Practice address
3240 Washington Rd
Suite 200
MC Murray, PA 15317-3180
Phone
(724) 941-4434
Fax
(724) 941-4714
NPI assigned
Sep 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT005826 PR Primary

Addresses

Primary practice location

3240 Washington Rd
Suite 200
MC Murray, PA 15317-3180

Mailing address

3240 Washington Rd
Suite 200
MC Murray, PA 15317-3180
Phone (724) 941-4434

Other identifiers 1

IdentifierTypeStateIssuer
1023707000001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091016000092 PA Practitioner - Qualified Audiologist 5698812097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Specialists of Western PA PCGroup PAC ID 4183663602, 9 clinicians

Practice addresses (Care Compare)

301 Ohio River Blvd
Suite 202
Sewickley, PA 15143-1300
Phone (412) 741-2122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT005826PRMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT & Allergy Specialists of Western PA, P.C. CurrentSince Sep 7, 2021 Accepting new patients
Associated Hearing Aid Services,LP Audiologist CurrentSince Sep 7, 2021 Accepting new patients
Hearusa Inc Past Accepting new patients
Crossroads Speech & Hearing, Inc. Past Accepting new patients
Crossroads Speech & Hearing, Inc. Audiologist PastSince Feb 1, 2010 Accepting new patients

Locations

301 Ohio River Blvd
Ste 202A
Sewickley, PA 15143
Phone (412) 741-2122

301 Ohio River Blvd
Ste 202
Sewickley, PA 15143
Phone (412) 741-2122

337 State Ave
Vanport, PA 15009
Phone (412) 741-2221

Organizations & group practices 5

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": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1710210463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 WASHINGTON RD",
            "address_2": "SUITE 200",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173180",
            "telephone_number": "724-941-4434",
            "fax_number": "724-941-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 WASHINGTON RD",
            "address_2": "SUITE 200",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173180",
            "telephone_number": "724-941-4434",
            "fax_number": "724-941-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "SAMANTHA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PR",
            "license": "AT005826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023707000001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Murray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.