NPIMap

Individual provider Active NPI

Jeanette Adelle Linder, M.D.

  • Radiation Oncology Physician
  • Gettysburg, PA
National Provider Identifier
1417922006
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD479630 Issued in PA
Practice address
40 V Twin Dr Ste 102
Gettysburg, PA 17325-7878
Phone
(717) 339-2640
Fax
(717) 339-2641
NPI assigned
Feb 17, 2006
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD479630 PA Primary
Radiation Oncology Physician 2085R0001X D40703 MD
Radiation Oncology Physician 2085R0001X BF2640490 PA

Addresses

Primary practice location

40 V Twin Dr Ste 102
Gettysburg, PA 17325-7878

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 339-2640

Other practice location 1

2401 W Belvedere Ave
Radiation Oncology
Baltimore, MD 21215-5216
Phone (410) 601-5689

Other practice location 2

260 N 7th St
Chambersburg, PA 17201-1722
Phone (717) 262-4660

Other identifiers 2

IdentifierTypeStateIssuer
447631000MedicaidMD
QMP000003346839OtherMDBRAVO HEALTH

Other names 1

  • Dr. Jeanette Adelle Friedman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091002000377 MD Practitioner - Radiation Oncology 3476699562 Reassigns benefits to 2 organizations
I20221130000676 PA Practitioner - Radiation Oncology 3476699562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Maryland School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

40 V Twin Dr
Suite 102
Gettysburg, PA 17325-7878
Phone (717) 339-2640

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D40703MDMDRadiation Oncology Physician
MD479630PAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Nov 21, 2022 Accepting new patients
Sinai Hospital of Baltimore, Inc Radiation Oncology CurrentSince Sep 1, 2009 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Sep 1, 2009 Accepting new patients
Wellspan Medical Group CurrentSince Nov 21, 2022 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group Current Accepting new patients
Radiation Oncology Services of Northwest Baltimore, LLC Radiation Oncology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
American Radiology Associates, P.a. Past Accepting new patients
Northwest Baltimore Radiation Therapy Regional Center, LLC Radiation Oncology Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

291 Stoner Ave
Westminster, MD 21157
Phone (410) 871-6139

22 St Paul Dr
Ste 100
Chambersburg, PA 17201
Phone (717) 217-6020

260 N 7th St
Chambersburg, PA 17201
Phone (717) 262-4660

40 V Twin Dr
Ste 102
Gettysburg, PA 17325
Phone (717) 338-9009

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Interoperability endpoints

  • Direct secure messaging: jlinder351474@wellspan.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1417922006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-339-2640",
            "fax_number": "717-339-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 V TWIN DR STE 102",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173257878",
            "telephone_number": "717-339-2640",
            "fax_number": "717-339-2641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 W Belvedere Ave",
            "address_2": "Radiation Oncology",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212155216",
            "country_code": "US",
            "telephone_number": "410-601-5689",
            "fax_number": "410-601-6307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011722",
            "country_code": "US",
            "telephone_number": "717-262-4660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDER",
        "first_name": "JEANETTE",
        "middle_name": "ADELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD479630",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MD",
            "license": "D40703",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "BF2640490",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "447631000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO HEALTH",
            "identifier": "QMP000003346839",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "FRIEDMAN",
            "middle_name": "ADELLE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.