Myron Rae Lindley St. Louis, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

ME 107124 Issued in FL

Practice address

4301 Sun N Lake Blvd
Suite 103
Sebring, FL 33872-2162

Phone

(863) 385-1900

Fax

(863) 385-9229

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Vascular Surgery

Education

State University of New York Downstate Medical Center, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adventist Health System-Sunbelt IncGroup PAC ID 0749232445, 100 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Sebring Hospital, Sebring, FL, CCN 100109

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: mstlouis622085@adventhealth.direct-ci.com

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.

• Adventist Health System-Sunbelt Inc

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1083692594
  Medicare reassignment Care Compare group NPD
• Adventist Health System-Sunbelt Inc

  • Internal Medicine Physician
  • Sebring, FL
  • NPI 1164698809

  Vascular Surgery

  NPD (past)

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

• Adventist Health System-Sunbelt Inc

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1083692594
  Care Compare affiliation

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1164636783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 SUN N LAKE BLVD",
            "address_2": "SUITE 103",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722162",
            "telephone_number": "863-385-1900",
            "fax_number": "863-385-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 SUN N LAKE BLVD",
            "address_2": "SUITE 103",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722162",
            "telephone_number": "863-385-1900",
            "fax_number": "863-385-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. LOUIS",
        "first_name": "MYRON",
        "middle_name": "RAE LINDLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME 107124",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD438171",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002469000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spiegel Chiropractic Clinic, Inc.
• James Ronald Spiegel, D.C.
• Sean Spiegel, D.C.
• Sarah Spring, DO
• Woaldor St Vil, PTA
• Stateserv Medical of Florida, LLC
• Stephen B. Hulen D. M. D. P. a.
• David Allen Stevens, DMD
• Barbara Janine Stevenson, CRDH
• Jacqueline Stiles Stimson

• Vascular Surgery Physician in Sebring, FL
• Providers in Sebring, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.