Robert William Petruso II, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AT005853 Issued in PA

Practice address

937 Park Ave
Meadville, PA 16335-3334

Phone

(814) 724-6211

Fax

(814) 337-0188

NPI assigned

May 16, 2006

Last updated

May 12, 2008By the provider in NPPES

Sex

Male

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 5

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Family Hearing LLCGroup PAC ID 8527386457, 4 clinicians

Practice addresses (Care Compare)

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.

• Integrated Family Hearing, LLC

  • Audiologist
  • Coudersport, PA
  • NPI 1720489511
  Medicare reassignment Care Compare group NPD Authorized official
• R. W. Petruso Hearing and Audiology Center, Inc

  • Hearing Aid Equipment
  • Meadville, PA
  • NPI 1619010733
  NPD (past)
• Robert L. Campbell Aud Inc.

  • Audiologist
  • Coudersport, PA
  • NPI 1689973802
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1750333084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14470 HARMONSBURG RD",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163358760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 PARK AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353334",
            "telephone_number": "814-724-6211",
            "fax_number": "814-337-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUSO",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_suffix": "II",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT005853",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A01527",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "346",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "314148",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000375162",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015214050001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "251916413",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "219759",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan James Peterson Kightlinger, PTA
• Sarah Peterson, MSW
• Arlene Marie Petruso, BS
• John Dominic Petruso Jr., RPH
• Robert William Petruso, BA
• Travis Elijah Petruso
• Philadelphia Eye Care Centre
• Amber Phillips, LCSW
• Jeffrey Thomas Pianta, RPH
• Pinnacle Treatment Centers PA-VI, LLC (Greenfield Counseling)

• Audiologist in Meadville, PA
• Providers in Meadville, PA by specialty
• Audiologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.