Individual provider Active NPI

Marlee Pavlechko, A.UD.

  • Audiologist
  • Wooster, OH
National Provider Identifier
1962230185
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A.02539 Issued in OH
Practice address
1749 Cleveland Rd
Wooster, OH 44691-2203
Phone
(330) 264-9699
NPI assigned
Jul 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 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 A.02539 OH Primary

Addresses

Primary practice location

1749 Cleveland Rd
Wooster, OH 44691-2203

Mailing address

2042 Hidden Lake Dr Apt D
Stow, OH 44224-5324
Phone (614) 653-5171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240924001158 OH Practitioner - Qualified Audiologist 7810438348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wooster ENT Associates IncGroup PAC ID 6204739311, 6 clinicians

Practice addresses (Care Compare)

1197 Glen Dr
Unit C
Millersburg, OH 44654-8981
Phone (330) 264-9699

1749 Cleveland Rd
Wooster, OH 44691-2203
Phone (330) 264-9699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A.02539OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wooster ENT Associates Inc CurrentSince Aug 1, 2024 Accepting new patients

Locations

1749 Cleveland Rd
Wooster, OH 44691
Phone (330) 264-9699

Interoperability endpoints

  • Direct secure messaging: marlee.pavlechko.p1@direct.went.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1962230185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 HIDDEN LAKE DR APT D",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442245324",
            "telephone_number": "614-653-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912203",
            "telephone_number": "330-264-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLECHKO",
        "first_name": "MARLEE",
        "credential": "A.UD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.02539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.