Individual provider Active NPI

Karen Sue Moellman, M.A., CCC,

  • Audiologist
  • Toledo, OH
National Provider Identifier
1720089709
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A00858 Issued in OH
Practice address
5950 Airport Hwy Ste 17
Toledo, OH 43615-7362
Phone
(419) 865-7500
Fax
(419) 865-8532
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

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)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Hyman Hearing and Speech Center PastSince Jun 1, 1992 Accepting new patients
Toledo Hearing and Speech Center Audiologist Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A00858 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

5950 Airport Hwy Ste 17
Toledo, OH 43615-7362

Mailing address

PO Box 509
Elmore, OH 43416-0509
Phone (419) 862-3434

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0741482OtherOHMEDICARE PTAN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 5, 2011.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1720089709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "ELMORE",
            "state": "OH",
            "postal_code": "434160509",
            "telephone_number": "419-862-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 AIRPORT HWY STE 17",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157362",
            "telephone_number": "419-865-7500",
            "fax_number": "419-865-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLMAN",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A00858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0741482",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.