Individual provider Active NPI

Marilyn Gail Maschgan, AU.D., CCC-A

  • Audiologist
  • Henderson, NV
National Provider Identifier
1962491530
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-17 Issued in NV
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

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1962491530MedicaidNV

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

LicenseStateTypeSpecialty
A-17NVMDAudiologist
#8NVMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hearing Center of Las Vegas Audiologist PastSince Apr 1, 2009 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.

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.

Verify at the official NPI Registry.