Individual provider Active NPI

Marylynn O'Bell, AU.D., FAAA

  • Audiologist
  • Dickson City, PA
National Provider Identifier
1851490890
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT-000364-L Issued in PA
Practice address
1330 Main St
Dickson City, PA 18519-1368
Phone
(570) 489-9900
Fax
(570) 490-4327
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT-000364-L PA Primary

Addresses

Primary practice location

1330 Main St
Dickson City, PA 18519-1368

Mailing address

1330 Main St
Dickson City, PA 18519-1368
Phone (570) 489-9900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000906 PA Practitioner - Qualified Audiologist 7214978972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1330 Main St
Suite 3
Dickson City, PA 18519-1368
Phone (570) 489-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT-000364-LPAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Enhanced Hearing Specialists, LLC CurrentSince Sep 2, 2014 Accepting new patients
Joshua Cillo LLC PastSince Sep 2, 2014 Accepting new patients
Vascular Diagnostic Center PC Past Accepting new patients

Locations

1330 Main St
Ste 3
Dickson City, PA 18519
Phone (570) 489-9900

330 Main St
Scranton, PA 18519
Phone (570) 330-5000

1330 Main St
Scranton, PA 18519
Phone (570) 489-9900

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1851490890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191368",
            "telephone_number": "570-489-9900",
            "fax_number": "570-489-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191368",
            "telephone_number": "570-489-9900",
            "fax_number": "570-490-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BELL",
        "first_name": "MARYLYNN",
        "name_prefix": "Dr.",
        "credential": "AU.D., FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-05-14",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT-000364-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.