NPIMap

Organization Active NPI

Allegany Hearing and Balance, LLC

  • Audiologist
  • Lavale, MD
National Provider Identifier
1861519142
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
00586 Issued in MD
Legal business name
ALLEGANY HEARING AND BALANCE, LLC
Practice address
938 National Hwy
Lavale, MD 21502-7326
Phone
(301) 729-1635
Fax
(301) 729-1697
NPI assigned
Mar 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jana Lee Brown, AUDNPI 1467579722
Title
Owner
Phone
(301) 729-1635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 00586 MD Primary
Audiologist 231H00000X 00958 MD

Addresses

Primary practice location

938 National Hwy
Lavale, MD 21502-7326

Mailing address

938 National Hwy
Lavale, MD 21502-7326
Phone (301) 729-1635

Other identifiers 5

IdentifierTypeStateIssuer
855AOtherMDCAREFIRST OF MD
J813OtherMDGHMSI & BLUECHOICE
2556420OtherUNITED HEALTHCARE
425337OtherMAMSI
1017225OtherWVWV WORKERS COMPENSATION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702000310 MD Part B Supplier - Clinic/Group Practice 9335139799 Receives reassigned benefits from 8 practitioners
Practice locations: Lavale, MD; Oakland, MD

National Provider Directory

National Provider Directory
Tax ID family
Allegany Hearing and Balance LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

952 Seton Dr
Ste 101
Cumberland, MD 21502
Phone (301) 759-4555

263 N Pennsylvania Ave
Hancock, MD 21750
Phone (301) 678-6993

265 Glass Dr
Ste A
Oakland, MD 21550
Phone (301) 334-1018

888 Memorial Dr
Lowr
Oakland, MD 21550
Phone (301) 334-1018

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861519142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027326",
            "telephone_number": "301-729-1635",
            "fax_number": "301-729-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027326",
            "telephone_number": "301-729-1635",
            "fax_number": "301-729-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGANY HEARING AND BALANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-729-1635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "00586",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "00958",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MD",
            "identifier": "855A",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMSI & BLUECHOICE",
            "identifier": "J813",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2556420",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "425337",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV WORKERS COMPENSATION",
            "identifier": "1017225",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.