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Angela E Damron

Audiologist

Speech, Language and Hearing Service Providers

3200 W Market St Ste 108, Fairlawn, OH 44333-3324

PECOS Enrollment

Based on the most recent information from CMS, provider Angela E Damron does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1356428486
Provider Type
Individual
Full Name
Damron, Angela E
Credential
M.A., CCC/A

Gender
Female
Sole Proprietor
No
Enumeration Date
11/1/2006
Last Updated
8/24/2016

Contact Information

Practice Location

3200 W Market St Ste 108, Fairlawn, OH 44333-3324

(330) 869-9911

Unlisted Fax

Mailing Location

3200 W Market St Ste 108, Fairlawn, OH 44333-3324

(330) 869-9911

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 231H00000X Primary	Description Audiologist Speech, Language and Hearing Service Providers	License A01531 Ohio

Provider Identifiers

ID	Description	Issuer
ID 0105418	Description Medicaid	Issuer Unlisted Ohio

Angela E Damron

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Ober, Cheryl M

Advanced Audiology Services

Audiology Distribution

Steinberger, Andrea R

Norin, Mark S

Milo, Robert Patrick

Norin, Helene S

Gupta, Madhu

Stillitano, Gina

Jay I Norin And Assoc Inc