Active NPI
Ryan Everett Lindsay, DO
- Pediatrics Physician
- Boise, ID
National Provider Identifier
1366728263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- O-0707
- Practice address
- 650 N Cole Rd
Boise, ID 83704-9117 - Phone
- (208) 323-1222
- NPI assigned
- Oct 24, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | O-0707 | ID | Primary |
Addresses
Primary practice location
650 N Cole Rd
Boise, ID 83704-9117
Mailing address
650 N Cole Rd
Boise, ID 83704-9117
Phone (208) 323-1222
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-0707 | ID | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ada Pediatrics, P.a. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- ryan@adapeds.gwaydirect.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448928000000",
"number": "1366728263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 N COLE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837049117",
"telephone_number": "208-323-1222",
"fax_number": "208-323-1825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 N COLE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837049117",
"telephone_number": "208-323-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSAY",
"first_name": "RYAN",
"middle_name": "EVERETT",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-24",
"last_updated": "2015-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ID",
"license": "O-0707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.