Active NPI
Karen Sue Moellman, M.A., CCC,
- Audiologist
- Toledo, OH
National Provider Identifier
1720089709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A00858
- 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.
-
- Speech/Language/Hearing Specialist/Technologist
- Toledo, OH
- NPI 1750364154
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyman Hearing and Speech Center | Past | Accepting new patients | |
| Toledo Hearing and Speech Center | Audiologist | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A00858 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0741482 | Other | OH | MEDICARE 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.