DR. KENNETH ERNEST MARCINIAK (NPI# 1477864072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477864072 |
| Entity Type | Individual |
| Full Name | DR. KENNETH ERNEST MARCINIAK |
| Credential | AUD |
| Practice Address |
607 S New Ballas Rd Ste 2300 Saint Louis MO 63141-8234 |
| Mailing Address |
1010 Old Des Peres Rd Des Peres MO 63131-1865 |
| Practice Telephone | 3142516394 |
| Practice Fax Number | 3142514235 |
| Mailing Telephone | (314) 722-4280 |
| Mailing Fax Number | 3147290101 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2017-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 2010020892 | MO | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1477864072 | 05 |
| Street Address |
607 S NEW BALLAS RD STE 2300 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-8234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376174417 | Robert Cory Proffer | Physician Assistant | 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141-8234 | 2020-01-28 |
| 1437672565 | Anna Neimer | Audiologist | 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141-8234 | 2017-07-20 |
| 1477081875 | Allison Elizabeth Coleman | Audiologist | 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141-8234 | 2017-05-30 |
| 1326339045 | James Richard Martin | Otolaryngology | 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141-8234 | 2011-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| 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 |
|---|---|---|---|---|
| 1003415381 | Eleni Beeve | Audiologist | 10004 Kennerly Rd Ste 205a, Saint Louis, MO 63128-5108 | 2020-10-19 |
| 1033695143 | Chelsea Marie Tisckos | Audiologist | 6400 Clayton Rd Ste 405, Saint Louis, MO 63117-1850 | 2018-07-12 |
| 1770076317 | Samantha Fox | Audiologist | 615 S New Ballas Rd Ste 385a, Saint Louis, MO 63141-8221 | 2018-06-08 |
| 1952826224 | Julia Stelmach | Audiologist | 621 S New Ballas Rd Ste 307a, Saint Louis, MO 63141-8257 | 2017-08-08 |
| 1386168318 | Lauren Christyne Locke | Audiologist | 1 Childrens Pl Ste 3s23, Saint Louis, MO 63110 | 2017-08-01 |
| 1891216123 | Elizabeth Ann Suba | Audiologist | 3660 Vista Ave Ste 312, Saint Louis, MO 63110-2540 | 2017-06-27 |
| 1114368214 | Kathleen R Rehrer | Audiologist | 3009 N Ballas Rd Ste 380c, Saint Louis, MO 63131-2324 | 2013-07-17 |
| 1861735938 | Ashley Rae Manning | Audiologist | 906 Rutger St, Saint Louis, MO 63104-3517 | 2013-03-27 |
| 1720210032 | Kristen Willis | Audiologist | 3860 S Lindbergh Blvd, Ste. #108, Saint Louis, MO 63127-1373 | 2009-08-20 |
| 1497913347 | Bradley Keith Pugh | Audiologist | 11627 Gravois Road, Midwest Hearing Center, Saint Louis, MO 63126 | 2008-05-28 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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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.