Active NPI
Marilyn Gail Maschgan, AU.D., CCC-A
- Audiologist
- Henderson, NV
National Provider Identifier
1962491530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A-17
- Practice address
- 301 N Pecos Rd
Suite G
Henderson, NV 89074-1349 - Phone
- (702) 732-3800
- Fax
- (702) 732-4747
- NPI assigned
- Oct 17, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A-17 | NV | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | #8 | NV |
Addresses
Primary practice location
301 N Pecos Rd
Suite G
Henderson, NV 89074-1349
Mailing address
301 N Pecos Rd
Suite G
Henderson, NV 89074-1349
Phone (702) 732-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962491530 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-17 | NV | MD | Audiologist |
| #8 | NV | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Hearing Center of Las Vegas | Audiologist | Past | Accepting new patients |
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.
-
- Audiologist
- Henderson, NV
- NPI 1194124107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353974400000",
"number": "1962491530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N PECOS RD",
"address_2": "SUITE G",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890741349",
"telephone_number": "702-732-3800",
"fax_number": "702-732-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N PECOS RD",
"address_2": "SUITE G",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890741349",
"telephone_number": "702-732-3800",
"fax_number": "702-732-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASCHGAN",
"first_name": "MARILYN",
"middle_name": "GAIL",
"credential": "AU.D., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-17",
"last_updated": "2012-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NV",
"license": "A-17",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NV",
"license": "#8",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962491530",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.