Individual provider Active NPI

Mary Lou Luebbe-Gearhart, AUD

  • Audiologist
  • Columbus, OH
National Provider Identifier
1801924543
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A00304 Issued in OH
Practice address
5074 N High St
Columbus, OH 43214-1526
Phone
(614) 431-1010
Fax
(614) 847-0015
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A00304 OH Primary

Addresses

Primary practice location

5074 N High St
Columbus, OH 43214-1526

Mailing address

5074 N High St
Columbus, OH 43214-1526
Phone (614) 431-1010

Other identifiers 2

IdentifierTypeStateIssuer
0048022MedicaidOH
0592185MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080417000465 OH Practitioner - Qualified Audiologist 9234217159 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A00304OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Luebbe Hearing Services Audiologist CurrentSince Oct 1, 1989 Accepting new patients
Luebbe Hearing Services Audiologist CurrentSince Oct 1, 1989 Accepting new patients
Luebbe Hearing Services Past Accepting new patients

Locations

1420 Circleville Plaza Dr
Circleville, OH 43113
Phone (740) 474-8475

5074 N High St
Columbus, OH 43214
Phone (614) 431-1010

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1801924543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5074 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141526",
            "telephone_number": "614-431-1010",
            "fax_number": "614-847-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5074 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141526",
            "telephone_number": "614-431-1010",
            "fax_number": "614-847-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEBBE-GEARHART",
        "first_name": "MARY",
        "middle_name": "LOU",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A00304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0048022",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0592185",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.