Active NPI
Troy Matthew Hollowell, HIS
- Hearing Instrument Specialist
- Marion, IL
National Provider Identifier
1659903862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3338
- Practice address
- 2406 Williamson County Pkwy
Marion, IL 62959-5271 - Phone
- (618) 997-5856
- Fax
- (618) 997-5856
- NPI assigned
- Feb 5, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 3338 | IL | Primary |
Addresses
Primary practice location
2406 Williamson County Pkwy
Marion, IL 62959-5271
Mailing address
2406 Williamson County Pkwy
Marion, IL 62959-5271
Phone (618) 997-5856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3338 | Other | IL | HEARING AID DISPENSER LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3338 | IL | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1659903862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2406 WILLIAMSON COUNTY PKWY",
"city": "MARION",
"state": "IL",
"postal_code": "629595271",
"telephone_number": "618-997-5856",
"fax_number": "618-997-5856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2406 WILLIAMSON COUNTY PKWY",
"city": "MARION",
"state": "IL",
"postal_code": "629595271",
"telephone_number": "618-997-5856",
"fax_number": "618-997-5856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWELL",
"first_name": "TROY",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-05",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "3338",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARING AID DISPENSER LICENSE",
"identifier": "3338",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.