Individual provider Active NPI

Danielle Kristine Lindberg, D.O.

  • Family Medicine Physician
  • Mayfield Heights, OH
National Provider Identifier
1104265479
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.014784 Issued in OH
Practice address
5800 Landerbrook Dr Ste 220
Mayfield Heights, OH 44124-4083
Phone
(216) 273-9800
Fax
(216) 273-9998
NPI assigned
Jun 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.014784 OH Primary
Family Medicine Physician 207Q00000X 2016022725 MO

Addresses

Primary practice location

5800 Landerbrook Dr Ste 220
Mayfield Heights, OH 44124-4083

Mailing address

5800 Landerbrook Dr Ste 220
Mayfield Heights, OH 44124-4083
Phone (216) 273-9800

Other practice location 1

3045 S National Ave
Suite 110
Springfield, MO 65804-4268
Phone (417) 888-6790

Other practice location 2

303 E Republic Rd
Springfield, MO 65807
Phone (417) 225-6212

Other practice location 3

737 E Crawford St
Salina, KS 67401-5103
Phone (785) 827-7261

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidMO

Other names 1

  • Miss Danielle Kristine Boyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160928000102 MO Practitioner - Family Practice 6800183310 Reassigns benefits to 1 organization
I20201216002902 OH Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6800183310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Southern Missouri Ambulatory Services LLCGroup PAC ID 5193089621, 32 clinicians
Lake Regional Health SystemGroup PAC ID 9133026776, shared by 16 NPIs, 132 clinicians

Practice addresses (Care Compare)

2150 W Republic Rd
112 Mercy GH Urgent Care SW Springfield
Springfield, MO 65807-6056
Phone (417) 986-1291

226 E US Hwy 54
Camdenton, MO 65020-6819
Phone (573) 873-2521

303 W Sunshine St
Mercy Gohealth Urgent Care W Sunshine
Springfield, MO 65807-2656
Phone (417) 986-0452

3233 E Sunshine St
100 Mercy Gohealth Urgent Care E Sunshine
Springfield, MO 65804-2106
Phone (417) 812-8149

900 E Battlefield St
124 Mercy GH Urgent Care E Battlefield
Springfield, MO 65807-5208
Phone (417) 986-1289

Hospital & facility affiliations

  • Lake Regional Health System Hospital, Osage Beach, MO, CCN 260186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2016022725MOMDFamily Medicine Physician
34.014784OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ameriwound LLC CurrentSince Dec 1, 2020 Accepting new patients
Mercy Southern Missouri Ambulatory Services LLC CurrentSince May 5, 2025 Accepting new patients
Lincoln County Hospital Past Accepting new patients

Locations

2150 W Republic Rd
Ste 112
Springfield, MO 65807
Phone (417) 986-1291

14095 E Center St
Burton, OH 44021
Phone (440) 834-1084

5800 Landerbrook Dr
Ste 220
Mayfield Hts, OH 44124

3 Merit Dr
Richmond Hts, OH 44143
Phone (216) 261-1500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1104265479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 LANDERBROOK DR STE 220",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244083",
            "telephone_number": "216-273-9800",
            "fax_number": "216-273-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 LANDERBROOK DR STE 220",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244083",
            "telephone_number": "216-273-9800",
            "fax_number": "216-273-9998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3045 S National Ave",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658044268",
            "country_code": "US",
            "telephone_number": "417-888-6790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 E Republic Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "65807",
            "country_code": "US",
            "telephone_number": "417-225-6212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "737 E Crawford St",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "674015103",
            "country_code": "US",
            "telephone_number": "785-827-7261",
            "fax_number": "785-833-5702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDBERG",
        "first_name": "DANIELLE",
        "middle_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.014784",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2016022725",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "BOYER",
            "middle_name": "KRISTINE",
            "prefix": "MISS",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mayfield Heights, OH

Sources for this page

Verify at the official NPI Registry.