Organization Active NPI

Lynda Hammond MD PLLC

  • Adult Medicine Physician
  • Jackson, MI
National Provider Identifier
1467406892
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
4301065180 Issued in MI
Legal business name
LYNDA HAMMOND MD PLLC
Practice address
517 Wildwood Ave
Suite B
Jackson, MI 49201-1044
Phone
(517) 782-1500
Fax
(517) 782-1308
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Dr. Lynda Catherine Hammond, MD
Title
MD
Phone
(517) 782-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 4301065180 MI Primary

Addresses

Primary practice location

517 Wildwood Ave
Suite B
Jackson, MI 49201-1044

Mailing address

517 Wildwood Ave
Suite B
Jackson, MI 49201-1044
Phone (517) 782-1500

Other identifiers 1

IdentifierTypeStateIssuer
5243763MedicaidMI

National Provider Directory

National Provider Directory

Locations

517 Wildwood Ave
Ste B
Jackson, MI 49201
Phone (517) 782-1500

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1467406892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 WILDWOOD AVE",
            "address_2": "SUITE B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011044",
            "telephone_number": "517-782-1500",
            "fax_number": "517-782-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 WILDWOOD AVE",
            "address_2": "SUITE B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011044",
            "telephone_number": "517-782-1500",
            "fax_number": "517-782-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDA HAMMOND MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "517-782-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MI",
            "license": "4301065180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5243763",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.