Active NPI
Ryan Willis Lindemann
- Certified Registered Nurse Anesthetist
- Middletown, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 5223
- Practice address
- 207 George St Apt 534
Middletown, CT 06457-6703 - Phone
- (940) 867-0959
- NPI assigned
- Oct 17, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 092460 | CT | |
| Registered Nurse | 163W00000X | 732793 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 5223 | CT | Primary |
Addresses
Primary practice location
207 George St Apt 534
Middletown, CT 06457-6703
Mailing address
207 George St Apt 534
Middletown, CT 06457-6703
Phone (940) 867-0959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, OR
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
251 SW 19TH St
Ontario, OR 97914-1972
Phone (541) 889-3198
3115 Medical Dr
Caldwell, ID 83605-6972
Phone (208) 453-8668
Hospital & facility affiliations
- West Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5223 | CT | MD | Professional Counselor |
| 092460 | CT | MD | Registered Nurse |
| 732793 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Boise, P.a. | Current | Accepting new patients | |
| Cardiac and Arrhythmia Center of Idaho PLLC | Current | Accepting new patients | |
| West Idaho Anesthesia, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Boise Anesthesia, P a | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Everest ASC | Past | Accepting new patients | |
| Woodland Anesthesia Associates PC | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
2537 W State St
Ste 200
Boise, ID 83702
Phone (208) 336-0895
338 E Bannock St
Boise, ID 83712
Phone (208) 336-0895
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
3115 Medical Dr
Caldwell, ID 83605
Phone (208) 453-8668
1000 State St
McCall, ID 83638
Phone (208) 634-2221
2960 E St Lukes St
Ste 100
Meridian, ID 83642
Phone (208) 378-4264
520 S Eagle Rd
Meridian, ID 83642
Phone (208) 706-5000
251 SW 19th St
Ontario, OR 97914
Phone (541) 889-3106
Organizations & group practices 6
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.
-
- Certified Registered Nurse Anesthetist
- Caldwell, ID
- NPI 1871918318
Nurse Anesthetist, Certified Registered, OR
-
- Specialist
- Boise, ID
- NPI 1033147467
-
- Anesthesiology Physician
- Boise, ID
- NPI 1487602298
Nurse Anesthetist, Certified Registered
-
- Clinical Cardiac Electrophysiology Physician
- Meridian, ID
- NPI 1629707740
-
- Anesthesiology Physician
- Hartford, CT
- NPI 1437109824
-
- Ambulatory Surgical Clinic/Center
- Meridian, ID
- NPI 1689349219
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middleton, ID
- NPI 1609818483
-
- General Acute Care Hospital
- Caldwell, ID
- NPI 1891732905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1164775995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 GEORGE ST APT 534",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064576703",
"telephone_number": "940-867-0959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 GEORGE ST APT 534",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064576703",
"telephone_number": "940-867-0959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDEMANN",
"first_name": "RYAN",
"middle_name": "WILLIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-17",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "092460",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "732793",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "5223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.