Organization Active NPI

Lindstrom OB GYN

  • Obstetrics & Gynecology Physician
  • Mesa, AZ
National Provider Identifier
1316128085
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17253 Issued in AZ
Legal business name
LINDSTROM OB GYN
Practice address
2204 S. Dobson Rd
Suite 202
Mesa, AZ 85202
Phone
(480) 633-6868
Fax
(480) 633-6996
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Joseph Chandler Lindstrom, M.D.
Title
Physician
Phone
(480) 633-6868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 17253 AZ Primary

Addresses

Primary practice location

2204 S. Dobson Rd
Suite 202
Mesa, AZ 85202

Mailing address

2204 S. Dobson Rd.
Suite 202
Mesa, AZ 85202
Phone (480) 633-6868

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1316128085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 S. DOBSON RD.",
            "address_2": "SUITE 202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85202",
            "telephone_number": "480-633-6868",
            "fax_number": "480-633-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 S. DOBSON RD",
            "address_2": "SUITE 202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85202",
            "telephone_number": "480-633-6868",
            "fax_number": "480-633-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSTROM OB GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "LINDSTROM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CHANDLER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-633-6868",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "17253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.