Active NPI
Jonathan Lindo, MD
- General Practice Physician
- Oquawka, IL
National Provider Identifier
1124209432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 036053670
- Practice address
- 1204 Hwy 164 East
Oquawka, IL 61469 - Phone
- (309) 867-2202
- Fax
- (309) 867-3205
- NPI assigned
- Nov 15, 2007
- Last updated
- Sep 9, 2011
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 036053670 | IL | Primary |
Addresses
Primary practice location
1204 Hwy 164 East
Oquawka, IL 61469
Mailing address
PO Box 198
Oquawka, IL 61469-0198
Phone (309) 867-2202
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
Interoperability endpoints
- jonathan.lindomd.p29@direct.fhn-fqhc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1124209432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 198",
"city": "OQUAWKA",
"state": "IL",
"postal_code": "614690198",
"telephone_number": "309-867-2202",
"fax_number": "309-867-3205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 HWY 164 EAST",
"city": "OQUAWKA",
"state": "IL",
"postal_code": "61469",
"telephone_number": "309-867-2202",
"fax_number": "309-867-3205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDO",
"first_name": "JONATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-15",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IL",
"license": "036053670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oquawka, IL
- Henderson County Rural Health Center Inc (Eagle View Community Health System)
- Henderson County Rural Health Center, Inc (Eagle View Community Health System)
- Usman Ghani Hussain, DDS
- Susan Jensen, LCSW
- Rola Kim, DMD
- Emilyrae Matsko
- Jessica Lynn McKee, RDH PHDH
- Shannon Kelly Miller, RDH
- North Henderson County Ambulance Service Inc.
- Crystal Ann Simpson, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.