Individual provider Active NPI

Sandra J. McGinley, M.S., CCC-A

  • Audiologist
  • Bloomsburg, PA
National Provider Identifier
1144360827
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT000997L Issued in PA
Practice address
6850 Lows Rd
Suite 320
Bloomsburg, PA 17815-8708
Phone
(570) 387-4368
Fax
(570) 387-6344
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT000997L PA Primary

Addresses

Primary practice location

6850 Lows Rd
Suite 320
Bloomsburg, PA 17815-8708

Mailing address

6850 Lows Rd
Suite 320
Bloomsburg, PA 17815-8708
Phone (570) 387-4368

Other identifiers 1

IdentifierTypeStateIssuer
0017303160003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081114000326 PA Practitioner - Qualified Audiologist 9830259217 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AT000997LPAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC CurrentSince Jun 1, 2023 Accepting new patients
Audiology Services Company USA, LLC Audiologist CurrentSince Jun 1, 2023 Accepting new patients

Locations

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

2201 5th Street Hollow Rd
Ste 3
Bloomsburg, PA 17815
Phone (570) 784-8050

1022 N Main Street Ext
Butler, PA 16001
Phone (724) 282-8491

601 Wyoming Ave
Kingston, PA 18704
Phone (570) 287-8649

Organizations & group practices 2

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1144360827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 LOWS RD",
            "address_2": "SUITE 320",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158708",
            "telephone_number": "570-387-4368",
            "fax_number": "570-387-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 LOWS RD",
            "address_2": "SUITE 320",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158708",
            "telephone_number": "570-387-4368",
            "fax_number": "570-387-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINLEY",
        "first_name": "SANDRA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000997L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017303160003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.