Individual provider Active NPI

Linda A McCollum

  • Hearing Instrument Specialist
  • Hagerstown, MD
National Provider Identifier
1124074182
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
02584 Issued in MD
Practice address
13424 Pennsylvania Ave
Suite 204
Hagerstown, MD 21742-2658
Phone
(301) 745-4820
Fax
(240) 527-2696
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 02584 MD Primary

Addresses

Primary practice location

13424 Pennsylvania Ave
Suite 204
Hagerstown, MD 21742-2658

Mailing address

19405 Emerald SQ Ste 1100
Hagerstown, MD 21742-3639
Phone (301) 745-4820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
02584MDMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
McCollum Hearing Center LLC Hearing Instrument Specialist PastSince Aug 15, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1124074182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19405 EMERALD SQ STE 1100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423639",
            "telephone_number": "301-745-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13424 PENNSYLVANIA AVE",
            "address_2": "SUITE 204",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422658",
            "telephone_number": "301-745-4820",
            "fax_number": "240-527-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "LINDA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MD",
            "license": "02584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.