Organization Active NPI

Auglaize Audiology Inc.

  • Specialist
  • Wapakoneta, OH
National Provider Identifier
1720167588
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A-01048 Issued in 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
Last updated
Apr 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Mrs. Vanessa L Lee, M.A.,CCC-ANPI 1649351495
Title
Audiologist/Owner
Phone
(419) 739-7575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A-01048 OH Primary

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 4

IdentifierTypeStateIssuer
738875OtherOHBUCKEYE COMMUNITY HEALTH
000000342913OtherOHANTHEM
0007421631OtherOHAETNA
2513828MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040611001338 OH Part B Supplier - Clinic/Group Practice 9537142294 Receives reassigned benefits from 3 practitioners
Practice locations: Sidney, OH; Wapakoneta, OH

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1720167588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BREWFIELD DR",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458959394",
            "telephone_number": "419-739-7575",
            "fax_number": "419-739-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BREWFIELD DR",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458959394",
            "telephone_number": "419-739-7575",
            "fax_number": "419-739-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGLAIZE AUDIOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "419-739-7575",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A.,CCC-A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "A-01048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMMUNITY HEALTH",
            "identifier": "738875",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000342913",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007421631",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2513828",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wapakoneta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.