Ethan D Lindsey MD PC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

16538 Issued in OK

Legal business name

ETHAN D LINDSEY MD PC

Practice address

1117 NW 50TH St
Oklahoma City, OK 73118-4401

Phone

(405) 842-4435

Fax

(405) 842-2846

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ethan David Lindsey, MDNPI 1033103304

Title

President

Phone

(405) 842-4435

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ethan D Lindsey, MD

  • Child & Adolescent Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1033103304
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1013049170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 NW 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184401",
            "telephone_number": "405-842-4435",
            "fax_number": "405-842-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 NW 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184401",
            "telephone_number": "405-842-4435",
            "fax_number": "405-842-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHAN D LINDSEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-842-4435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OK",
            "license": "16538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100130670C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Demetria Yvonne Estrada
• Dilys Estrada
• Evodio Hector Estrada
• Gilda Estrada
• Jessica Hope Estrada, PHARMD
• Robert Ethel, M.D., MBS
• James Scott Etheridge, APRN-CNP
• Ashley Lynn Ethriedge, MS, RD/LD
• Eti - Beyond the Bell
• Jada Etienne, MD

• Child & Adolescent Psychiatry Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Child & Adolescent Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.