Active NPI
Patricia J. Lindholm, MD
- Family Medicine Physician
- Fergus Falls, MN
National Provider Identifier
1356449227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33575
- Practice address
- 712 South Cascade Street
Fergus Falls, MN 56537-2813 - Phone
- (218) 736-8000
- Fax
- (218) 739-6742
- NPI assigned
- Sep 21, 2006
- Last updated
- Feb 16, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33575 | MN | Primary |
Addresses
Primary practice location
712 South Cascade Street
Fergus Falls, MN 56537-2813
Mailing address
712 South Cascade Street
Fergus Falls, MN 56537-2813
Phone (218) 736-8000
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-00795 | Other | MN | MEDICA |
| 41091744413 | Medicaid | NE | |
| HP26727 | Other | MN | HEALTHPARTNERS |
| 27675LI | Other | MN | BLUECROSSBLUESHIELD |
| 015003700 | Medicaid | MN | |
| 12087 | Medicaid | ND | |
| 1008792 | Other | MN | PREFERREDONE |
| 110128 | Other | MN | UCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070315000442 | MN | Practitioner - Family Practice | 4183611346 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Fergus Falls Medical Group, P.a. | Current | Accepting new patients | |
| Fergus Falls Medical Group, P.a. | Family Medicine | Past | Accepting new patients |
Locations
2001 W Lincoln Ave
Ste 56
Fergus Falls, MN 56537
Phone (218) 739-5281
712 S Cascade St
Fergus Falls, MN 56537
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Fergus Falls, MN
- NPI 1285676031
-
- General Acute Care Hospital
- Fergus Falls, MN
- NPI 1093713372
-
- Chiropractor
- Fergus Falls, MN
- NPI 1265148480
-
- Family Medicine Physician
- Fergus Falls, MN
- NPI 1730127812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1356449227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 SOUTH CASCADE STREET",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372813",
"telephone_number": "218-736-8000",
"fax_number": "218-739-6742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 SOUTH CASCADE STREET",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372813",
"telephone_number": "218-736-8000",
"fax_number": "218-739-6742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDHOLM",
"first_name": "PATRICIA",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "33575",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "01-00795",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41091744413",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP26727",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "27675LI",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015003700",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12087",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE",
"identifier": "1008792",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "110128",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.