Marc A. Fagelson, PH.D., CCC-A
NPI 1760413116ActiveIndividual· Audiologist· Johnson City, TN
Audiologist (PH.D., CCC-A) in Johnson City, Tennessee, licensed in TN, with an NPI issued in July 2006. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1760413116 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D., CCC-A |
| Sole proprietor | No |
| NPI issued | Jul 5, 2006 |
| Last updated in NPPES | Jan 17, 2024 |
| Certified by provider | Jan 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 0000001136 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (TN) |
|---|
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