Individual provider Active NPI

Olivia Linthavong, MD

  • Neonatal-Perinatal Medicine Physician
  • Greensboro, NC
National Provider Identifier
1144580614
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
201501607 Issued in NC
Practice address
801 Green Valley Rd
Greensboro, NC 27408-7021
Phone
(336) 832-6518
NPI assigned
May 18, 2012
Last updated
Oct 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 201501607 NC Primary

Addresses

Primary practice location

801 Green Valley Rd
Greensboro, NC 27408-7021

Mailing address

Women's Hospital - Z035
801 Green Valley Road
Greensboro, NC 27408-0001
Phone (336) 832-6518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140817000017 NC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1850518713

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201501607NCMDNeonatal-Perinatal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1144580614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WOMEN'S HOSPITAL - Z035",
            "address_2": "801 GREEN VALLEY ROAD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274080001",
            "telephone_number": "336-832-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 GREEN VALLEY RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087021",
            "telephone_number": "336-832-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINTHAVONG",
        "first_name": "OLIVIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NC",
            "license": "201501607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.