Mary Beth Mucklow, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

23002305A Issued in IN

Practice address

108 W Daisy LN
New Albany, IN 47150-4537

Phone

(502) 893-0159

NPI assigned

Feb 29, 2008

Last updated

Nov 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, KY2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced ENT and Allergy PLLCGroup PAC ID 2769525385, 37 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.34 of 100Reported as group

Quality

89.81

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced ENT and Allergy PLLC

  • Otolaryngology Physician
  • Louisville, KY
  • NPI 1780817502

  IN

  Medicare reassignment Care Compare group
• Merit Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
  • NPI 1366624967
  NPD
• Ohio Valley ENT & Allergy LLC

  • Otolaryngic Allergy Physician
  • New Albany, IN
  • NPI 1669426755
  NPD (past)
• Commonwealth Ear Nose & Throat-Head & Neck Center

  • Otolaryngology Physician
  • Carol Stream, IL
  • NPI 1689732836
  NPD (past)

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1720257124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201409",
            "telephone_number": "502-893-0159",
            "fax_number": "502-213-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W DAISY LN",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504537",
            "telephone_number": "502-893-0159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2125 State St",
            "address_2": "Suite 6",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504988",
            "country_code": "US",
            "telephone_number": "812-945-3557",
            "fax_number": "812-206-1784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Gordon Gutmann Blvd Ste 402",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303768",
            "country_code": "US",
            "telephone_number": "502-893-0159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUCKLOW",
        "first_name": "MARY",
        "middle_name": "BETH",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "0520",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "0520",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002305A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200937310",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Moser, COTA/L
• Madeline Moses, PHARMD
• Steven R. Mosley, D. P. M.
• Donna Ann Moss, ARNP
• Michelle Lynn Moure, DMD
• Justice Mudd
• Stephanie Mullins
• Danielle Mumma, MA
• Allyson Sue Murawski, RN, BSN, RNC-OB
• Brody R Musgrove

• Audiologist in New Albany, IN
• Providers in New Albany, IN by specialty
• Audiologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.