Individual provider Active NPI

Antoinette Paul

  • Audiologist
  • Buffalo Grove, IL
National Provider Identifier
1851411342
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A00906 Issued in OH
Practice address
2100 E Lake Cook Rd
Suite 1100
Buffalo Grove, IL 60089-1999
Phone
(847) 267-8200
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A00906 OH Primary

Addresses

Primary practice location

2100 E Lake Cook Rd
Suite 1100
Buffalo Grove, IL 60089-1999

Mailing address

5727 Norwood Dr
Brook Park, OH 44142-1034
Phone (440) 716-9432

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

State licenses

LicenseStateTypeSpecialty
A00906OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Inc Current Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

575 White Pond Dr
Ste A
Akron, OH 44320
Phone (330) 835-1629

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

Interoperability endpoints

  • Direct secure messaging: antoinette.paul.p19@direct.360care.nextgenshare.com

Organizations & group practices 2

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1851411342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 NORWOOD DR",
            "city": "BROOK PARK",
            "state": "OH",
            "postal_code": "441421034",
            "telephone_number": "440-716-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E LAKE COOK RD",
            "address_2": "SUITE 1100",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891999",
            "telephone_number": "847-267-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "ANTOINETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A00906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.