Active NPI
Donald L Lendle IX, MD
- Family Medicine Physician
- Winston-Salem, NC
National Provider Identifier
1083617716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24445
- Practice address
- 1995 Bethabara Rd
Winston-Salem, NC 27106-3375 - Phone
- (336) 759-7596
- Fax
- (336) 759-3652
- NPI assigned
- May 27, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24445 | NC | Primary |
Addresses
Primary practice location
1995 Bethabara Rd
Winston-Salem, NC 27106-3375
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 759-7596
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7951670 | Medicaid | NC | |
| 251 | Other | PARTNERS | |
| 2578418 | Other | AETNA HMO OPOS | |
| 58454 | Other | MEDCOST | |
| 287314 | Other | MAMSI | |
| BCBS | Other | 51670 | |
| 102267 | Other | UNITED HEALTHCARE | |
| 080118074 | Other | RAILROAD MEDICARE | |
| P00457725 | Other | NC | RAILROAD MEDICARE |
| 4097828 | Other | AETNA PPO POS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1083617716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751803",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751803",
"telephone_number": "336-759-7596",
"fax_number": "336-759-3652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 BETHABARA RD",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271063375",
"telephone_number": "336-759-7596",
"fax_number": "336-759-3652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENDLE",
"first_name": "DONALD",
"middle_name": "L",
"name_suffix": "IX",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "24445",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7951670",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "251",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO OPOS",
"identifier": "2578418",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "58454",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "287314",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "51670",
"identifier": "BCBS",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "102267",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080118074",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00457725",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO POS",
"identifier": "4097828",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston-Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.