Individual provider Active NPI

Claudine Marie Croyle, AU.D.

  • Audiologist
  • Johnstown, PA
National Provider Identifier
1750347027
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT000869L Issued in PA
Practice address
232 Walnut St
Johnstown, PA 15901-2913
Phone
(814) 535-5508
Fax
(814) 536-4943
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT000869L PA Primary

Addresses

Primary practice location

232 Walnut St
Johnstown, PA 15901-2913

Mailing address

232 Walnut St
Johnstown, PA 15901-2913
Phone (814) 535-5508

Other names 1

  • Claudine Marie Penatzer Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Western and Central Pennsylvania Audiologist PastSince Mar 27, 2022 Accepting new patients
Easter Seals Central PA Past Accepting new patients
Boran & Puzzi Ear, Nose & Throat Associates, PC Audiologist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1750347027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 WALNUT ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012913",
            "telephone_number": "814-535-5508",
            "fax_number": "814-536-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 WALNUT ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012913",
            "telephone_number": "814-535-5508",
            "fax_number": "814-536-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROYLE",
        "first_name": "CLAUDINE",
        "middle_name": "MARIE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000869L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDINE",
            "last_name": "PENATZER",
            "middle_name": "MARIE",
            "credential": "M.S./CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.