Active NPI
Elizabeth Michele Morgan Sedunov, AU.D.
- Audiologist
- Elkins Park, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT006269
- Practice address
- 8380 Old York Rd
Suite 120
Elkins Park, PA 19027-1539 - Phone
- (215) 780-3180
- Fax
- (215) 780-3182
- NPI assigned
- Jul 12, 2011
- Last updated
- Jun 29, 2016
- 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 | AO1775 | OH | |
| Audiologist | 231H00000X | AT006269 | PA | Primary |
Addresses
Primary practice location
8380 Old York Rd
Suite 120
Elkins Park, PA 19027-1539
Mailing address
342 Friendship Dr
Paoli, PA 19301-1207
Phone (614) 270-3130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1427 Vine St
Philadelphia, PA 19102-1031
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AO1775 | OH | MD | Audiologist |
| AT006269 | PA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drexel University | Audiologist | Current | Accepting new patients |
| Drexel University | Current | Accepting new patients |
Locations
8380 Old York Rd
Elkins Park, PA 19027
Phone (215) 517-5000
8380 Old York Rd
Ste 120
Elkins Park, PA 19027
Phone (215) 780-3180
8380 Old York Rd
Ste 1200
Elkins Park, PA 19027
Phone (215) 780-3180
1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1982992970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 FRIENDSHIP DR",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011207",
"telephone_number": "614-270-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8380 OLD YORK RD",
"address_2": "SUITE 120",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271539",
"telephone_number": "215-780-3180",
"fax_number": "215-780-3182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDUNOV",
"first_name": "ELIZABETH",
"middle_name": "MICHELE MORGAN",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-12",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "AO1775",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT006269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.