Active NPI
Beth J Gabavics, AUD
- Audiologist
- Marinette, WI
National Provider Identifier
1942517180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 540-156
- Practice address
- 3200 Shore Dr
Marinette, WI 54143-4292 - Phone
- (715) 735-3187
- Fax
- (715) 735-7072
- NPI assigned
- Sep 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 540-156 | WI | Primary |
Addresses
Primary practice location
3200 Shore Dr
Marinette, WI 54143-4292
Mailing address
3200 Shore Dr
Marinette, WI 54143-4292
Phone (715) 735-3187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1520 N Meade St
Appleton, WI 54911-3762
Phone (920) 734-7181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 540-156 | WI | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear Nose & Throat Surgical Associates SC | Current | Accepting new patients | |
| Northern Lights Clinic SC | Past | Accepting new patients |
Locations
1520 N Meade St
Appleton, WI 54911
Phone (920) 560-6748
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.
-
- Specialist
- Appleton, WI
- NPI 1629094214
-
- Otolaryngology Physician
- Neenah, WI
- NPI 1508819178
-
- Otolaryngology Physician
- Marinette, WI
- NPI 1033155924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284076800000",
"number": "1942517180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 SHORE DR",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541434292",
"telephone_number": "715-735-3187",
"fax_number": "715-735-7072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SHORE DR",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541434292",
"telephone_number": "715-735-3187",
"fax_number": "715-735-7072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABAVICS",
"first_name": "BETH",
"middle_name": "J",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-09",
"last_updated": "2010-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "540-156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marinette, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.