Linda M. Ross Pedersen, PA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP1927642 Issued in FL

Legal business name

LINDA M. ROSS PEDERSEN, PA

Practice address

3700 Central Ave
Suite 2
Fort Myers, FL 33901-7649

Phone

(239) 275-0665

Fax

(239) 275-0503

NPI assigned

Nov 21, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Linda M Ross Pedersen, CRNA

Title

President

Phone

(239) 357-8256

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1447594973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 SAND CASTLE RD",
            "city": "SANIBEL",
            "state": "FL",
            "postal_code": "339573614",
            "telephone_number": "239-357-8256",
            "fax_number": "239-395-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 CENTRAL AVE",
            "address_2": "SUITE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017649",
            "telephone_number": "239-275-0665",
            "fax_number": "239-275-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA M. ROSS PEDERSEN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "ROSS PEDERSEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-357-8256",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP1927642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304513700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430051711",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FL",
            "identifier": "G0375",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lino Alexander Linares, D.O.
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• Jonathan Lind, D.O.
• Lacey Lind
• Linda J. Bunck LCSW
• Linda Yarris-Ewert PHD MD PA
• Kelleen Marguerite Linden
• Kalyn Lindgren
• Crosby Lindner
• Ionela Liana Lindsay, LPC

• Certified Registered Nurse Anesthetist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.