Linderman Pediatric Associates

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

25046 Issued in NC

Legal business name

LINDERMAN PEDIATRIC ASSOCIATES

Practice address

167L S Trade St
Matthews, NC 28105-5771

Phone

(704) 847-0757

Fax

(704) 844-2068

NPI assigned

Mar 17, 2006

Organization subpart

No

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

Authorized official

Name

Susan B Coen

Title

Insurance Manager

Phone

(704) 847-0757

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417916677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2563",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281062563",
            "telephone_number": "704-847-0757",
            "fax_number": "704-844-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167L S TRADE ST",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055771",
            "telephone_number": "704-847-0757",
            "fax_number": "704-844-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDERMAN PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "704-847-0757"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NC",
            "license": "25046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890154C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lice Clinics of America of the Carolinas
• Ida M Lim, DPM
• Win Jir Lin, PA
• Sofia Lindeman
• Caroline Eugenia Lindenbeck, DC
• Linda C Linderman, COTA
• Daniel Bruce Lindquist, PT
• Sara Lineberger
• Christa Lee Lipko
• Lisa Candon, DDS, PLLC

• Pediatric Adolescent Medicine Physician in Matthews, NC
• Providers in Matthews, NC by specialty
• Pediatric Adolescent Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.