Active NPI
Catherine L Linderman, MD
- Pain Clinic/Center
- Idaho Falls, ID
National Provider Identifier
1295836864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- M-6069
- Practice address
- 2375 E Sunnyside Rd
Idaho Falls, ID 83404-8280 - Phone
- (208) 524-0610
- Fax
- (208) 557-0171
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | M-6069 | ID | Primary |
Addresses
Primary practice location
2375 E Sunnyside Rd
Idaho Falls, ID 83404-8280
Mailing address
2375 E Sunnyside Rd
Idaho Falls, ID 83404-8280
Phone (208) 524-0610
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1262500 | Medicaid | ID | |
| 10136831 | Other | ID | BLUE SHIELD |
| J5842 | Other | ID | BLUE CROSS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-6069 | ID | MD | Pain Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catherine L. Linderman MD PLLC | Pain | Past | Accepting new patients |
| Creekside Surgery Center LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pain Clinic/Center
- Idaho Falls, ID
- NPI 1194826750
-
- Ambulatory Surgical Clinic/Center
- Idaho Falls, ID
- NPI 1275634826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295836864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2375 E SUNNYSIDE RD",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048280",
"telephone_number": "208-524-0610",
"fax_number": "208-557-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2375 E SUNNYSIDE RD",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048280",
"telephone_number": "208-524-0610",
"fax_number": "208-557-0171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDERMAN",
"first_name": "CATHERINE",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "ID",
"license": "M-6069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1262500",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "10136831",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "J5842",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.