Lynda Margaret Stidham, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

171500 Issued in NY

Practice address

25 E Main St
Springville, NY 14141-1244

Phone

(716) 592-2832

Fax

(716) 592-4452

NPI assigned

Apr 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Springville Pediatrics, LLP

  • Pediatrics Physician
  • Springville, NY
  • NPI 1598722159
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1386600765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WOODSTOCK RD",
            "city": "GLENWOOD",
            "state": "NY",
            "postal_code": "140699632",
            "telephone_number": "716-592-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E MAIN ST",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "141411244",
            "telephone_number": "716-592-2832",
            "fax_number": "716-592-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIDHAM",
        "first_name": "LYNDA",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "171500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "171500",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01051481",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Olivia Stang, COTA/L
• Teri Lynn Stearns
• Christopher Steven Stephany, PA-C
• Donna Jean Stetler, RN
• Luann Stevens
• Surgical Associates of Sgi, PLLC
• Colleen Margaret Susskraut, NP
• Cathy L. Swales, COTA
• Kyle Ryan Sweeney
• Celestine Szulewski, P.A.

• Pediatrics Physician in Springville, NY
• Providers in Springville, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.