NPIMap

Organization Active NPI

Lindenwald Medical Associates Inc

  • Internal Medicine Physician
  • Hamilton, OH
National Provider Identifier
1245405786
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35074089 Issued in OH
Legal business name
LINDENWALD MEDICAL ASSOCIATES INC
Practice address
3570 Pleasant Ave
Suite a
Hamilton, OH 45015-1747
Phone
(513) 863-6463
Fax
(513) 863-2440
NPI assigned
Apr 25, 2008
Last updated
May 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Authorized official

Name
Shauna Tobertge
Title
Office Manager
Phone
(513) 887-5734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35074089 OH Primary

Addresses

Primary practice location

3570 Pleasant Ave
Suite a
Hamilton, OH 45015-1747

Mailing address

PO Box 643197
Cincinnati, OH 45264-3197
Phone (513) 557-3196

Other identifiers 1

IdentifierTypeStateIssuer
2294959MedicaidOH

National Provider Directory

National Provider Directory

Locations

3570 Pleasant Ave
Ste A
Hamilton, OH 45015
Phone (513) 863-6463

3570 Pleasant Ave
Ste B
Hamilton, OH 45015
Phone (513) 863-6463

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1245405786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643197",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452643197",
            "telephone_number": "513-557-3196",
            "fax_number": "513-557-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 PLEASANT AVE",
            "address_2": "SUITE A",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450151747",
            "telephone_number": "513-863-6463",
            "fax_number": "513-863-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDENWALD MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "TOBERTGE",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "513-887-5734"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35074089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2294959",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.