Active NPI
Marylee Ruth
- Audiologist
- Honolulu, HI
National Provider Identifier
1952374431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD 34
- Practice address
- 1150 S King St
#907
Honolulu, HI 96814-1922 - Phone
- (808) 548-7884
- NPI assigned
- Feb 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD 34 | HI | Primary |
| Assistive Technology Supplier Audiologist | 231HA2500X | HA48 | HI |
Addresses
Primary practice location
1150 S King St
#907
Honolulu, HI 96814-1922
Mailing address
94-227 Paioa PL
#B104
Waipahu, HI 96797-5660
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9274-2 | Other | HI | HMSA |
| AUD34-01 | Other | HI | MDX HAWAII |
| 593 | Other | HI | ALOHACARE |
| 0000205302 | Other | HI | HMSA QUEST |
| 071312-03 | Medicaid | HI | |
| 03856 | Other | FL | HEARUSA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040121000797 | HI | Practitioner - Qualified Audiologist | 9537061544 | Practice locations: Honolulu, HI |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1150 S King St
Suite 907
Honolulu, HI 96814-1953
Phone (808) 548-7884
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD 34 | HI | MD | Audiologist |
| HA48 | HI | MD | Assistive Technology Supplier Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1952374431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-227 PAIOA PL",
"address_2": "#B104",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967975660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 S KING ST",
"address_2": "#907",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141922",
"telephone_number": "808-548-7884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTH",
"first_name": "MARYLEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "HI",
"license": "AUD 34",
"primary": true
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "HI",
"license": "HA48",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "9274-2",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDX HAWAII",
"identifier": "AUD34-01",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALOHACARE",
"identifier": "593",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA QUEST",
"identifier": "0000205302",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "071312-03",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARUSA",
"identifier": "03856",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.