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Amanda Widman , MS CCC-SLP

Speech-Language Pathologist β€’ Galion, OH

Active NPI 1063881209 Individual Practitioner Female Practitioner
Practice location in NPPES

269 Portland Way S
Galion, OH 448332312

Call 4194680570 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

269 Portland Way S

Galion, OH 448332312

Telephone 4194680570
Organization at the Same NPPES Address or Phone
Park Pathology Associates Inc Facility NPI 1447245881

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Galion, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Galion and Ohio

10 active clinicians are listed under Speech-Language Pathologist with a practice address in Galion, OH (7,644 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-03-18
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES OH SP.12156

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES OH COND. 2015268

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

5247 County Road 29

Galion, OH 448339742

Phone: 4199471900

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Guillermo Amurao , MD

Internal Medicine - Pulmonary Disease

NPI 1639199631

Doctor of Medicine (M.D.)

Ronald Bailey , PA

Physician Assistant

NPI 1376683268

Physician Assistant

Dr. Kevin Bercik , DO

Emergency Medicine

NPI 1952368540

Doctor of Osteopathic Medicine (D.O.)

Dr. Kamal Chaban , MD

Internal Medicine - Pulmonary Disease

NPI 1851330823

Doctor of Medicine (M.D.)

Raygan Ciballi

Physician Assistant

NPI 1659010825
NPI 1154849313

NURSEPRACTITIONER

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location March 18, 2020

Registered at 269 PORTLAND WAY S, GALION, OH 448332312 (Tel: 4194680570)

πŸ“
Updated Business Mailing Address March 18, 2020

Registered at 269 PORTLAND WAY S, GALION, OH 448332312 (Tel: 4194680570)

πŸ‘€
Provider Name / Credentials Updated March 18, 2020

Recorded as AMANDA WIDMAN, M.S. CCC-SLP

βœ…
NPI Profile Active September 17, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 17, 2015

Registered at 5247 COUNTY ROAD 29, GALION, OH 448339742 (Tel: 4199471900)

πŸ“
Business Mailing Address (Initial Record) September 17, 2015

Registered at 5247 COUNTY ROAD 29, GALION, OH 448339742 (Tel: 4199471900)

πŸ‘€
Provider Name / Credentials (Initial Record) September 17, 2015

Recorded as AMANDA SHELDON, M.S. CF-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2015

Speech-Language Pathologist (license number reported to NPPES: OH COND. 2015268)

🟒
Initial NPI Registration & Enumeration September 17, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063881209
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2015
Last Update: March 18, 2020
Sole Proprietor: No

Mailing Address

269 Portland Way S

Galion, OH 448332312

Phone: 4194680570

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.