Active NPI
Lindy C Eatwell, DO
- Family Medicine Physician
- St James, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 50241
- Practice address
- 1101 Moulton and Parson Drive
St James, MN 56081-0460 - Phone
- (507) 375-3391
- Fax
- (507) 375-8636
- NPI assigned
- Aug 18, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 50421 | MN | |
| Family Medicine Physician | 207Q00000X | 3548 | IA | |
| Family Medicine Physician | 207Q00000X | 50241 | MN | Primary |
Addresses
Primary practice location
1101 Moulton and Parson Drive
St James, MN 56081-0460
Mailing address
1101 Moulton and Parsons Dr
Saint James, MN 56081-5550
Phone (507) 375-3261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50421 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Family Medicine | Current | Accepting new patients |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Family Medicine | Current | Accepting new patients |
| Aeris Medical Group PLLC | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Provider Partners Care Management LP | Family Medicine | Current | Accepting new patients |
| Sanford Health Network | Family Medicine | Current | Accepting new patients |
| The Emeralds at Faribault LLC | Past | Accepting new patients |
Locations
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
1430 North Hwy
Jackson, MN 56143
Phone (507) 847-2200
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
800 2nd Ave NW
Plainview, MN 55964
Phone (507) 534-3191
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261
625 N Jackson Ave
Springfield, MN 56087
Phone (507) 723-3523
249 5th St E
Tracy, MN 56175
Phone (507) 629-3520
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- St Louis Park, MN
- NPI 1184228520
-
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
-
- Critical Access Hospital
- Jackson, MN
- NPI 1326069097
-
- Nurse Practitioner
- Columbia, MD
- NPI 1013348028
Family Medicine, MN
-
- Multi-Specialty Clinic/Center
- Waseca, MN
- NPI 1518494251
-
- Family Medicine Physician
- Lakefield, MN
- NPI 1114086311
-
- Rural Health Clinic/Center
- Mountain Lake, MN
- NPI 1568469039
-
- Family Medicine Physician
- Tracy, MN
- NPI 1699869875
-
- Skilled Nursing Facility
- Faribault, MN
- NPI 1467926923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1124132956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MOULTON AND PARSONS DR",
"city": "SAINT JAMES",
"state": "MN",
"postal_code": "560815550",
"telephone_number": "507-375-3261",
"fax_number": "507-375-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MOULTON AND PARSON DRIVE",
"city": "ST JAMES",
"state": "MN",
"postal_code": "560810460",
"telephone_number": "507-375-3391",
"fax_number": "507-375-8636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATWELL",
"first_name": "LINDY",
"middle_name": "C",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "50421",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "3548",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "50241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St James, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.