Sun Tien Lin, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

74569 Issued in MA

Practice address

125 Liberty St
Suite 204
Springfield, MA 01103-1114

Phone

(413) 788-4321

Fax

(413) 788-8877

NPI assigned

Aug 29, 2005

Reactivated

Mar 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1023001773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LIBERTY ST",
            "address_2": "SUITE 204",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031114",
            "telephone_number": "413-788-4321",
            "fax_number": "413-788-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LIBERTY ST",
            "address_2": "SUITE 204",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031114",
            "telephone_number": "413-788-4321",
            "fax_number": "413-788-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "SUN TIEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2011-08-31",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "74569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110054873/A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Ann Lima, ANP-BC
• Kairong Lin, DDS
• Larry Lin, DMD
• Peng-Wen Lin
• Peter Lin, CRNA
• Thomas Arthur L Lincoln, MD
• Alysha M Lind
• Katherine Lindeman
• Peter K Lindenauer, MD
• Mary Lindsay

• Internal Medicine Physician in Springfield, MA
• Providers in Springfield, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.