DR. MARSHALL KRIZOA NGUESSAN (NPI# 1689670077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689670077 |
| Entity Type | Individual |
| Full Name | DR. MARSHALL KRIZOA NGUESSAN |
| Credential | AUD. |
| Practice Address |
1102 Se 36th St Ste B Lawton OK 73501-8458 |
| Mailing Address |
501 S 11th St Marlow OK 73055-3025 |
| Practice Telephone | 5803512278 |
| Practice Fax Number | 5803530462 |
| Mailing Telephone | 5806582468 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | 51685 | TX | Speech, Language and Hearing Service Providers |
| Y | 231H00000X | Audiologist | 305 | OK | Speech, Language and Hearing Service Providers |
| Street Address |
1102 SE 36TH ST STE B |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-8458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851839096 | Comanche County Hospital Authority | Clinic/Center | 1102 Se 36th St, Lawton, OK 73501-8462 | 2017-02-08 |
| 1720480080 | East Lawton Neighborhood Family Clinic, Pllc | Clinic/Center | 1102 Se 36th St, Ste. B, Lawton, OK 73501-8462 | 2014-09-18 |
| 1730594987 | East Lawton Neighborhood Family Clinic Pllc | Family Medicine | 1102 Se 36th St, Lawton, OK 73501-8462 | 2014-06-26 |
| 1114126331 | Wendy S Bartanen Md, PC | Family Medicine | 1102 Se 36th St, Lawton, OK 73501-8462 | 2007-07-17 |
| 1790876316 | Joseph Brent Brennan | Pharmacist | 1102 Se 36th St, Suite A, Lawton, OK 73501-8462 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| 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 |
|---|---|---|---|---|
| 1578946810 | Shane Dollarhite | Audiologist | 4404 Nw Cache Rd, Ste 4, Lawton, OK 73505-3403 | 2015-07-06 |
| 1164519971 | Bonnie L Pendleton | Audiologist | 6806 Sw Oakland Ln, Lawton, OK 73505-5018 | 2006-10-05 |
| 1699705475 | Sharly Michelle Hooper | Audiologist | Usphs Indian Hospital, 1515 Lawrie Tatum Rd, Lawton, OK 73507 | 2006-07-04 |
| 1114341823 | Connect Hearing, Inc. | Audiologist | 1603 W Gore Blvd, Ste A, Lawton, OK 73501-3610 | 2014-02-17 |
| 1083816490 | Tyler Tate Bay | Audiologist | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2007-06-05 |
| 1508812884 | Michele L Rogers | Audiologist | 4920 Sw Lee Blvd, Lawton, OK 73505-8339 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949590 | Blair Kathryn Hosier | Audiologist | 7614 E 91st St Ste 160, Tulsa, OK 74133-6047 | 2020-07-22 |
| 1164045399 | Gabrielle Ballard | Audiologist | 1200 Childrens Ave Ste 8c, Oklahoma City, OK 73104-4637 | 2020-05-21 |
| 1679195424 | Natalie A Dixon | Audiologist | 825 Ne 10th St # 4c, Oklahoma City, OK 73104-5417 | 2020-05-15 |
| 1932721917 | Danielle Knight | Audiologist | 2405 S Bryant Ave Ste 100, Edmond, OK 73013-6169 | 2020-05-12 |
| 1306342621 | Professional Hearing Healthcare PC | Audiologist | 5022 E 101st St, Tulsa, OK 74137-5803 | 2018-04-04 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1316469067 | Amber Emerson Runge | Audiologist | 825 Ne 10th St Ste 4c, Oklahoma City, OK 73104-5417 | 2017-07-14 |
| 1942739578 | Lauren S Main | Audiologist | 4564 S Harvard Ave Ste A, Tulsa, OK 74135-2918 | 2017-06-07 |
| 1558801654 | Desirae Webb | Audiologist | 5020 E. 68th Street, Tulsa, OK 74136-3356 | 2017-03-08 |
| 1013381565 | Calyn Cheyenne Russ | Audiologist | 3954 N Kickapoo Ave, Shawnee, OK 74804-1698 | 2015-11-20 |
| Find all providers with the same taxonomy | ||||
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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.