DR. ERIC N HAGBERG (NPI# 1164428678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164428678 |
| Entity Type | Individual |
| Full Name | DR. ERIC N HAGBERG |
| Credential | AU.D. |
| Practice Address |
755 Boardman Canfield Rd South Bridge West, C1 Youngstown OH 44512-4300 |
| Practice Telephone | 3307268155 |
| Practice Fax Number | 3307268612 |
| Mailing Telephone | 3307268155 |
| Mailing Fax Number | 3307268612 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2011-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | AT000389L | PA | Speech, Language and Hearing Service Providers |
| Y | 231H00000X | Audiologist | A00139 | OH | Speech, Language and Hearing Service Providers |
| N | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
AT000389L | PA | Speech, Language and Hearing Service Providers |
| N | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
A00139 | OH | Speech, Language and Hearing Service Providers |
| N | 231HA2500X |
Audiologist Specialization: Assistive Technology Supplier |
AT000389L | PA | Speech, Language and Hearing Service Providers |
| N | 231HA2500X |
Audiologist Specialization: Assistive Technology Supplier |
A00139 | OH | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | A00139 | OH | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | AT000389L | PA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM BOARDMAN OFFICE | 000000273046 | 01 |
| OH | ANTHEM LIBERTY OFFICE | 000000130783 | 01 |
| OH | 0516301 | 05 |
| Street Address |
755 BOARDMAN CANFIELD RD SOUTH BRIDGE WEST, C1 |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44512-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265841886 | Specialized Home Care Providers, LLC | In Home Supportive Care | 755 Boardman Canfield Rd, Building J Unit 5, Youngstown, OH 44512-4300 | 2014-08-07 |
| 1639368665 | Francis M. Turocy M.d.m, Inc. | Family Medicine | 755 Boardman Canfield Rd, Suite F5, Youngstown, OH 44512-4300 | 2007-10-16 |
| 1962578385 | Nefertiti A Labib | Psychiatry & Neurology | 755 Boardman Canfield Rd, Ste H2, Youngstown, OH 44512 | 2006-11-28 |
| 1043275498 | Thomas D Sopkovich | Dentist | 755 Boardman Canfield Rd, Southbridge West Bldg L 1, Youngstown, OH 44512-7303 | 2006-04-19 |
| 1831166552 | Amarjeet Nagpaul | Neuromusculoskeletal Medicine & OMM | 755 Boardman Canfield Rd, Youngstown, OH 44512-4300 | 2006-03-01 |
| 1265422513 | Forum Health Enterprises | Neuromusculoskeletal Medicine, Sports Medicine | 755 Boardman Canfield Rd, Bldg P Suite#1, Youngstown, OH 44512-4300 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| 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 |
|---|---|---|---|---|
| 1518086545 | Christine Lee Fullerman | Audiologist | 6614 Southern Blvd, Youngstown, OH 44512-3455 | 2007-03-29 |
| 1619032323 | Audiology Assoc. of Ne Ohio, Inc | Audiologist | 1032 Boarman-canfield Rd #102, Youngstown, OH 44512 | 2006-12-22 |
| 1932186988 | Deborah Kay Yaich | Audiologist | 7227 Glenwood Ave, Youngstown, OH 44512-4853 | 2005-12-29 |
| 1396720249 | Sheryl A Figliano | Audiologist | 1032 Boardman Canfield Rd, Suite 102, Youngstown, OH 44512 | 2005-12-14 |
| 1023014685 | Susan L Herr | Audiologist | 3622 Belmont Ave., Suite 19, Youngstown, OH 44505 | 2005-06-28 |
| 1821544917 | Mary Crock | Audiologist | 20 W Wood St, Youngstown, OH 44503-1028 | 2016-08-29 |
| 1386779783 | Youngstown Hearing and Speech Center | Audiologist | 299 Edwards St, Youngstown, OH 44502-1504 | 2007-02-23 |
| 1760547608 | Frank J Weldele | Audiologist | 1032 Boardman Canfield Rd, Suite 102, Youngstown, OH 44512 | 2006-12-22 |
| 1780774703 | Regina A Wendel | Audiologist | 7227 Glenwood Ave, Youngstown, OH 44512-4853 | 2006-10-13 |
| 1134215924 | Leah C Frederick-toth | Audiologist | 7227 Glenwood Ave, Youngstown, OH 44512-4853 | 2006-10-05 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
Please comment or provide details below to improve the information on DR. ERIC N HAGBERG.
| 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.