MEDICARE: DR. SUZANNE MARIE NOONAN AU.D., CCC-A, FAAA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	770	MD
2	231HA2400X	Assistive Technology Practitioner Audiologist	770	MD
3	231HA2500X	Assistive Technology Supplier Audiologist	770	MD
4	237600000X	Audiologist-Hearing Aid Fitter	770	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	640002741	OTHER	MD	RAILROAD MEDICARE PROV ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	521981246002	OTHER	MD	CIGNA PROVIDER ID NUMBER
3	1902342	OTHER	MD	UNITED HEALTHCARE PROV ID
4	241012	OTHER	MD	OPTIMUM CHOICE PROV ID
5	241012	OTHER	MD	MAMSI PROVIDER ID
6	521981246DA	OTHER	MD	PREFERRED HEALTH NETWORK
7	802624	OTHER	MD	JOHNS HOPKINS HC GROUP ID
8	L117HE	OTHER	MD	BCBS OF MD GROUP ID
9	L332HE	OTHER	MD	BCBS OF MD ALT. GROUP ID
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	69280	OTHER	MD	AMERIGROUP PROVIDER ID
12	241012	OTHER	MD	ALLIANCE PPO PROV ID
13	241012	OTHER	MD	MDIPA PROVIDER ID
14	NOONAN	OTHER	VA	INOVA PROVIDER ID
15	0814410	OTHER	MD	AETNA PROVIDER ID
16	0814410	OTHER	MD	US HEALTHCARE PROV ID
17	20420002	OTHER	DC	BCBS OF DC PROV ID

General Provider Information

NPI Number	:	1114951944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUZANNE MARIE NOONAN AU.D., CCC-A, FAAA

Provider Business Mailing Address
First Line	:	525 LONGHORN CRES
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20850-5704
Country	:	US
Telephone Number	:	301-926-2774
Fax Number	:	301-946-2435

Provider Business Practice Location Address
First Line	:	3913 FERRARA DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-4709
Country	:	US
Telephone Number	:	301-946-2434
Fax Number	:	301-946-2435

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	10/19/2011

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Directions to “ DR. SUZANNE MARIE NOONAN AU.D., CCC-A, FAAA” Practice Location

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