Casey Gaul I, AU.D.,CCC-A,FAAA

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AT006704 Issued in PA

Practice address

423 3Rd Ave Ste C
Kingston, PA 18704-5809

Phone

(570) 714-3434

Fax

(570) 714-6355

NPI assigned

Aug 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• ENT Surgical Group,PC

  • Otolaryngic Allergy Physician
  • Kingston, PA
  • NPI 1992722870
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1962012492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 3RD AVE STE C",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045809",
            "telephone_number": "570-714-3434",
            "fax_number": "570-714-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 3RD AVE STE C",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045809",
            "telephone_number": "570-714-3434",
            "fax_number": "570-714-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUL",
        "first_name": "CASEY",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "AU.D.,CCC-A,FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "PA",
            "license": "AT006704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881624856",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "entsurgical@hotmail.com",
            "affiliation": "N",
            "address_1": "423 3rd Ave Ste C",
            "city": "Kingston",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187045809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David E Gallick, LSW,LMFT
• Eleanor Theresa Garavaglia, RN MSRC
• Sanjeev Garg, M.D.
• Dawnrenee Gaudino, RPH
• James Gaudino, RPH
• Karlee Ann Gavrish, PA-C
• Geisinger Clinc
• Geisinger Clinic
• Geisinger Clinic
• Geisinger Clinic

• All providers in Kingston, PA
• Audiologist-Hearing Aid Fitter in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.