Individual provider Active NPI

Samantha Fox, AU.D.

  • Audiologist
  • Saint Louis, MO
National Provider Identifier
1770076317
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2018019011 Issued in MO
Practice address
615 S New Ballas Rd Ste 385a
Saint Louis, MO 63141-8221
Phone
(314) 251-5850
NPI assigned
Jun 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2018019011 MO Primary

Addresses

Primary practice location

615 S New Ballas Rd Ste 385a
Saint Louis, MO 63141-8221

Mailing address

615 S New Ballas Rd Ste 385a
Saint Louis, MO 63141-8221
Phone (314) 251-5850

Other names 1

  • Dr. Samantha Munzer Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180806001457 MO Practitioner - Qualified Audiologist 0345598496 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018019011MOMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
St Louis Pathology Assoc Inc. Current Accepting new patients
Mercy Hospitals East Communities CurrentSince May 2, 2022 Accepting new patients
Mercy Hospitals East Communities CurrentSince May 2, 2022 Accepting new patients
Mercy Hospitals East Communities Audiologist CurrentSince Jul 29, 2018 Accepting new patients
Mercy Hospital South CurrentSince May 25, 2020 Accepting new patients
Mercy Clinic ENT LLC CurrentSince Jul 23, 2020 Accepting new patients
Mercy Hospitals East Communities Current Accepting new patients
Mercy Hospitals East Communities CurrentSince Jul 29, 2018 Accepting new patients
Mercy Hospital South CurrentSince May 25, 2020 Accepting new patients
Mercy Clinic Pulmonology - St. Louis, LLC Past Accepting new patients

Locations

615 S New Ballas Rd
Ste 482
Saint Louis, MO 63141

621 S New Ballas Rd
Ste 482A
Saint Louis, MO 63141
Phone (314) 251-5850

615 S New Ballas Rd
Ste G2114
Saint Louis, MO 63141
Phone (314) 251-3830

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

615 S New Ballas Rd
Ste 385A
Saint Louis, MO 63141
Phone (314) 251-5850

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

10004 Kennerly Rd
Ste 205A
Saint Louis, MO 63128
Phone (314) 525-4327

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

901 Patients First Dr
#3500
Washington, MO 63090
Phone (636) 390-1570

Organizations & group practices 10

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1770076317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD STE 385A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418221",
            "telephone_number": "314-251-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD STE 385A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418221",
            "telephone_number": "314-251-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2018019011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "MUNZER",
            "prefix": "DR.",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.