Active NPI
Randy Edward Lerner, AU.D.
- Audiologist
- McMinnville, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 23563
- Practice address
- 2700 SE Stratus Ave Unit 402
McMinnville, OR 97128-6258 - Phone
- (503) 434-1110
- Fax
- (503) 434-1119
- NPI assigned
- May 30, 2007
- Last updated
- Aug 20, 2020
- Sex
- Male
- 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 | 23563 | OR | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | NU |
Addresses
Primary practice location
2700 SE Stratus Ave Unit 402
McMinnville, OR 97128-6258
Mailing address
2521 Boone Rd SE
Ste 120
Salem, OR 97306-9675
Phone (971) 701-6322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2025 Madrona Ave SE
Suite 100
Salem, OR 97302-1149
Phone (503) 980-1950
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23563 | OR | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear Nose and Throat Northwest LLC | Current | Accepting new patients | |
| Willamette Valley Clinics LLC | Current | Accepting new patients | |
| MLM USA LLC | Audiologist | Past | Accepting new patients |
| Hearing Rehab Center West Hills LLC | Audiologist | Past | Accepting new patients |
Locations
2700 SE Stratus Ave
Unit 302
McMinnville, OR 97128
Phone (503) 474-2565
2700 SE Stratus Ave
Unit 402
McMinnville, OR 97128
Phone (503) 434-1110
2025 Madrona Ave SE
Ste 100
Salem, OR 97302
Phone (503) 980-1950
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Salem, OR
- NPI 1184214462
-
- Family Medicine Physician
- McMinnville, OR
- NPI 1790740520
-
- Audiologist
- Portland, OR
- NPI 1437572369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1962603738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 BOONE RD SE",
"address_2": "STE 120",
"city": "SALEM",
"state": "OR",
"postal_code": "973069675",
"telephone_number": "971-701-6322",
"fax_number": "971-915-2689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 SE STRATUS AVE UNIT 402",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971286258",
"telephone_number": "503-434-1110",
"fax_number": "503-434-1119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LERNER",
"first_name": "RANDY",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "23563",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.