Individual provider Active NPI

Elizabeth Michele Morgan Sedunov, AU.D.

  • Audiologist
  • Elkins Park, PA
National Provider Identifier
1982992970
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006269 Issued in PA
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20150917001008 PA Practitioner - Qualified Audiologist 2860709268 Reassigns benefits to 2 organizations

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
Drexel UniversityGroup PAC ID 5496664740, 80 clinicians

Practice addresses (Care Compare)

1427 Vine St
Philadelphia, PA 19102-1031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AO1775OHMDAudiologist
AT006269PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel University Audiologist CurrentSince Jul 21, 2015 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.

Verify at the official NPI Registry.