Organization Active NPI

Lindstrom Family Practice P.C.

  • Family Medicine Physician
  • Mason City, IA
National Provider Identifier
1043428329
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LINDSTROM FAMILY PRACTICE P.C.
Practice address
1327 6TH SW
Mason City, IA 50401-4815
Phone
(641) 423-0711
Fax
(641) 423-0713
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Dr. Lori L Lindstrom, M.D.NPI 1205936432
Title
Business Owner
Phone
(641) 423-0711

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
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X IA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X IA Primary

Addresses

Primary practice location

1327 6TH SW
Mason City, IA 50401-4815

Mailing address

1327 6TH SW
Mason City, IA 50401-4815
Phone (641) 423-0711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040402001108 IA Part B Supplier - Clinic/Group Practice 3678565033 Receives reassigned benefits from 1 practitioner
Practice locations: Mason City, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0991213Lindstrom Family Practice1327 6TH Street SW, Mason City, IA 50401Provider-performed microscopySep 13, 2027

National Provider Directory

National Provider Directory

Locations

112 N Commercial Ave
Eagle Grove, IA 50533
Phone 51548483242

1327 6th St SW
Mason City, IA 50401
Phone (641) 423-0711

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1043428329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 6TH SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504014815",
            "telephone_number": "641-423-0711",
            "fax_number": "641-423-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 6TH SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504014815",
            "telephone_number": "641-423-0711",
            "fax_number": "641-423-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSTROM FAMILY PRACTICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "LINDSTROM",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "641-423-0711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.