Active NPI
Terry Manus Lindblom, PA-C
- Medical Physician Assistant
- Quincy, MA
National Provider Identifier
1295937605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2327
- Practice address
- 1600 Crown Colony Dr
Quincy, MA 02169-0913 - Phone
- (617) 509-4873
- Fax
- (617) 509-0206
- NPI assigned
- Jun 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2327 | MA | Primary |
Addresses
Primary practice location
1600 Crown Colony Dr
Quincy, MA 02169-0913
Mailing address
14 Deer Hollow Rd
North Attleboro, MA 02760-4377
Phone (508) 761-4295
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2327 | MA | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295937605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 DEER HOLLOW RD",
"city": "NORTH ATTLEBORO",
"state": "MA",
"postal_code": "027604377",
"telephone_number": "508-761-4295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CROWN COLONY DR",
"city": "QUINCY",
"state": "MA",
"postal_code": "021690913",
"telephone_number": "617-509-4873",
"fax_number": "617-509-0206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDBLOM",
"first_name": "TERRY",
"middle_name": "MANUS",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "2327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
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.