Individual provider Active NPI

Therese McCullough Linnon, D.O.

  • Pediatrics Physician
  • Warren, OH
National Provider Identifier
1144230459
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34.009940 Issued in OH
Practice address
5000 E Market St Ste 30
Warren, OH 44484-2259
Phone
(330) 856-9699
Fax
(330) 746-8025
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34.009940 OH Primary

Addresses

Primary practice location

5000 E Market St Ste 30
Warren, OH 44484-2259

Mailing address

1 Perkins SQ
Akron Children'S Hospital Pediatrics-Boardman
Akron, OH 44308-1063
Phone (330) 726-1664

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tlinnon6484@direct.chmca.org Direct

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.009940OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Children'S Hospital Current Accepting new patients
Children'S Hospital Medical Center of Akron PastSince Mar 16, 2021 Accepting new patients
Children'S Hospital Medical Center of Akron Pediatrics PastSince Mar 16, 2021 Accepting new patients

Locations

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

Organizations & group practices 3

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1144230459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "address_2": "AKRON CHILDREN'S HOSPITAL PEDIATRICS-BOARDMAN",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-726-1664",
            "fax_number": "330-746-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 E MARKET ST STE 30",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842259",
            "telephone_number": "330-856-9699",
            "fax_number": "330-746-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINNON",
        "first_name": "THERESE",
        "middle_name": "MCCULLOUGH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34.009940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tlinnon6484@direct.chmca.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5000 E Market St Ste 30",
            "city": "Warren",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444842259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.