MEDICARE: DR. HELENE LEVENFUS GOLDSTEIN AU.D.

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	A-00280	OH
2	237600000X	Audiologist-Hearing Aid Fitter	A-00280	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000001400240	OTHER	OH	ANTHEM BLUE CROSS
2	0007612025	OTHER	OH	AETNA US HEALTHCARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	107261	OTHER	OH	KAISER PERMANENTE
5	000000140024	OTHER	OH	BC/BS FEDERAL

General Provider Information

NPI Number	:	1386647360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELENE LEVENFUS GOLDSTEIN AU.D.

Provider Business Mailing Address
First Line	:	5010 MAYFIELD RD
Second Line	:	STE 116
City	:	LYNDHURST
State	:	OH
Zip	:	44124-2611
Country	:	US
Telephone Number	:	216-381-5011
Fax Number	:	216-381-9277

Provider Business Practice Location Address
First Line	:	5010 MAYFIELD RD
Second Line	:	STE 116
City	:	LYNDHURST
State	:	OH
Zip	:	44124-2611
Country	:	US
Telephone Number	:	216-381-5011
Fax Number	:	216-381-9277

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	02/16/2012

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