Auglaize Audiology Inc.
Organization Active NPI Specialist · Wapakoneta, OH
NPI 1720167588 · NPPES record last updated Apr 14, 2008
Key facts
- NPI
- 1720167588
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- A-01048 (OH)
- Legal business name
- AUGLAIZE AUDIOLOGY INC.
- Practice address
- 801 Brewfield Dr
Wapakoneta, OH 45895-9394 - Phone
- (419) 739-7575
- Fax
- (419) 739-7577
- NPI assigned
- Nov 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Vanessa L Lee, M.A.,CCC-A
- Title
- Audiologist/Owner
- Phone
- (419) 739-7575
Practitioners 4
-
Emmalee Kathryn Topp, AUD
-
Amy M Schroeder, AUD
-
Vanessa L Lee, MA CCCA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040611001338 | OH | Part B Supplier - Clinic/Group Practice | 9537142294 |
Receives reassigned benefits from 3 practitioners Practice locations: Sidney, OH; Wapakoneta, OH |
National Provider Directory
Locations
671 N Vandemark Rd
Sidney, OH 45365
Phone (937) 638-0023
208 Defiance St
Wapakoneta, OH 45895
Phone (419) 739-7575
801 Brewfield Dr
Ste B
Wapakoneta, OH 45895
Phone (419) 739-7575
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | A-01048 | OH | Yes |
Addresses
Primary practice location
801 Brewfield Dr
Wapakoneta, OH 45895-9394
Mailing address
801 Brewfield Dr
Wapakoneta, OH 45895-9394
Phone (419) 739-7575
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007421631 | Other | OH | AETNA |
| 2513828 | Medicaid | OH | |
| 000000342913 | Other | OH | ANTHEM |
| 738875 | Other | OH | BUCKEYE COMMUNITY HEALTH |
Other providers in Wapakoneta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.