MRS. MARY S MANAHAN (NPI# 1659467645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659467645 |
Entity Type | Individual |
Full Name | MRS. MARY S MANAHAN |
Credential | MA, CCCA |
Practice Address |
4408 Maccorkle Ave Se Charleston WV 25304-2506 |
Practice Telephone | 3043579059 |
Practice Fax Number | 3043574412 |
Mailing Telephone | 3043579059 |
Mailing Fax Number | 3043574412 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2015-12-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 231H00000X | Audiologist | A0198 | WV | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | STATE LICENSE | A0198 | 01 |
WV | 3403015000 | 05 |
Street Address |
4408 MACCORKLE AVE SE |
City | CHARLESTON |
State | WV |
Zip Code | 25304-2506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477899623 | Ear, Nose & Throat Physicians and Surgeons of Charleston, Pllc | Otolaryngology | 4408 Maccorkle Ave Se, Charleston, WV 25304-2506 | 2012-12-17 |
1649440983 | Womencare, Inc | Clinic/Center | 4408 Maccorkle Ave Se, Charleston, WV 25304-2506 | 2008-03-03 |
1295866879 | Peter Kent Americo | Speech-Language Pathologist | 4408 Maccorkle Ave Se, Charleston, WV 25304-2506 | 2007-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
Find all providers in zip 25304 |
Taxonomy Code | 231H00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Audiologist |
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376160465 | Nicole Ritter | Audiologist | 135 Rutledge Ave # 216, Charleston, SC 29425-8903 | 2020-07-06 |
1164732616 | Shannon Blackstone | Audiologist | 33 Percy St Apt B, Charleston, SC 29403-5957 | 2010-10-18 |
1437326295 | Mickra Hamilton King | Audiologist | 1679 Coonskin Dr, 130th Medical Group, Charleston, WV 25311-1023 | 2008-05-12 |
1760608152 | Audiology and Hearing Aid Services, Inc | Audiologist | 2205 Washington St E, Charleston, WV 25311-2218 | 2007-04-17 |
1740325950 | Simmerman Hearing and Speech Associates Inc | Audiologist | 1105 Fledderjohn Rd, Charleston, WV 25314-4204 | 2007-02-21 |
1669511853 | Gregory Alan Simmerman | Audiologist | 1105 Fledderjohn Road, Charleston, WV 25314 | 2007-02-05 |
1629149455 | Advanced Professional Hearing Aid Services Inc | Audiologist | 318 Lee St W, Suite 201, Charleston, WV 25302-2136 | 2006-11-13 |
1881658367 | Jennifer P Davis | Audiologist | 318 Lee St W Ste 201, Charleston, WV 25302-2136 | 2006-04-13 |
1689292252 | Lauren Lynne Costello | Audiologist | 135 Rutledge Ave, Charleston, SC 29425-8903 | 2020-07-10 |
1770100075 | Allyson Lambert | Audiologist | 216 Leon Sullivan Way, Charleston, WV 25301-2409 | 2020-07-02 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 25304 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.