KENT STATE UNIVERSITY


Address: 1325 Theatre Dr A126 Center for The Performing Arts, Kent, OH 44242-0001
Phone: 3306720250

KENT STATE UNIVERSITY (NPI# 1689871220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689871220
Entity Type Organization
Organization Name KENT STATE UNIVERSITY
Other Organization Name KENT STATE UNIVERSITY SPEECH & HEARING CLINIC
Practice Address 1325 Theatre Dr A126 Center for The Performing Arts
Kent
OH 44242-0001
Practice Telephone 3306720250
Practice Fax Number 3306722643
Mailing Telephone 3306720250
Mailing Fax Number 3306722643
Enumeration Date 2007-06-28
Last Update Date 2019-08-16
Authorized Official Name MARK M POLATAJKO (SR VP FINANCE & ADMINISTRATION)
Authorized Official Telephone 3306722422
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0700X Clinic/Center
Specialization: Hearing and Speech
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OH 4644504 05

Other Provider/Organization Names

Other Name Type Code
Kent State University Speech & Hearing Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1669994620 Kent State University Clinic/Center 350 Midway Dr Macc Anx Rm 123, Kent, OH 44242-0001 2017-07-12
1205871985 Kent State University General Practice 1500 Eastway Dr, Kent, OH 44242-0001 2006-06-18

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Kent State University 800 E. Summit Street, Kent, OH 44240
System for Award Management (SAM) Entities KENT STATE UNIVERSITY 1500 Horning Rd, Kent, OH 44242-0001
Ohio Business Entities KENT STATE UNIVERSITY BOOKSTORE - SALEM CAMPUS 2491 State Route 45, Salem Main Bldg, Salem, OH 44460

Office Location

Street Address 1325 THEATRE DR A126 CENTER FOR THE PERFORMING ARTS
City KENT
State OH
Zip Code 44242-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326460056 Ryan Deane Specialist/Technologist 2213 Summit Street, Athletic Training, Kent, OH 44242 2014-01-15
1447866116 Jay Jonas Specialist/Technologist 350 Midway Drive, Kent, OH 44242-0001 2020-09-18
1639700313 Alexander Stephen Walker Specialist/Technologist 1025 Risman Dr 123 Mac Center, Kent, OH 44242-0001 2020-01-30
1184280125 Lynn Veronica Berk Speech-Language Pathologist 1235 Theatre Dr Speech Pathlogy and Audiology, Kent, OH 44242-0001 2019-05-15
1316503717 Hayley Arnold Speech-Language Pathologist 1325 Theatre Drive, Kent, OH 44242-0001 2019-05-13
1215429931 Michaela Hawkins Specialist/Technologist 305 Midway Drive Attn: Athletic Training, Kent, OH 44242-0001 2018-05-30
1588155774 Pamela Cosette Mcgill Speech-Language Pathologist Kent State University 1325 Theatre Dr, Kent, OH 44242-0001 2018-05-23
1134627920 Rachel Helscher Counselor 1500 Eastway Drive Kent State University, Kent, OH 44242-0001 2018-01-26
1669994620 Kent State University Clinic/Center 350 Midway Dr Macc Anx Rm 123, Kent, OH 44242-0001 2017-07-12
1497275879 Brittany Schaefer Specialist/Technologist 350 Midway Dr, 366a Macc Annex, Kent, OH 44242-0001 2017-06-26
Find all providers in zip 44242

Taxonomy Information

Taxonomy Code 261QH0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Hearing and Speech

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417556309 Hearing Well LLC Clinic/Center 174 Hiawatha Ave, Westerville, OH 43081-2223 2020-10-21
1477176261 Effective Speech Therapy Clinic/Center 25727 Laura Ln, Westlake, OH 44145-4757 2020-05-27
1942725106 Fm Speech Therapy LLC Clinic/Center 3732 Bendemeer Rd, Cleveland Hts, OH 44118-1919 2017-08-09
1154782738 Hearing Professionals Grandlake Clinic/Center 1939 Havemann Rd, Celina, OH 45822-9390 2016-03-10
1922464965 Premier Hearing Healthcare Center, LLC Clinic/Center 8141 N Main St, Suite A, Dayton, OH 45415-1750 2016-01-06
1457728438 Marion Hearing Aid Center Clinic/Center 864 E Center St, Marion, OH 43302-4351 2015-08-26
1841609328 Ashtabula County Community Action Agency Clinic/Center 4510 Main Ave, Ashtabula, OH 44004-6925 2014-08-08
1164852737 Accuquest Hearing Centers LLC Clinic/Center 10501 Blacklick Eastern Rd, Suite 700, Pickerington, OH 43147-7871 2013-11-19
1154754224 Accuquest Hearing Center, LLC. Clinic/Center 3848 Hard Rd, Suite 109, Dublin, OH 43016-8025 2013-08-13
1447683511 Accuquest Hearing Center, LLC. Clinic/Center 5917 Hoover Rd, Grove City, OH 43123-9702 2013-08-13
Find all providers with the same taxonomy

Competitor

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City KENT
Zip Code 44242

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Dataset Information

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.

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