Individual provider Active NPI

Paige E Lindberg, M.D.

  • Otolaryngology Physician
  • St Petersburg, FL
National Provider Identifier
1467640771
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME128854 Issued in FL
Practice address
625 6TH Ave S Ste 385
St Petersburg, FL 33701-4665
Phone
(727) 553-7100
Fax
(727) 553-7198
NPI assigned
Oct 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 026194 LA
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X MD.026194 LA
Otolaryngology Physician 207Y00000X ME128854 FL Primary

Addresses

Primary practice location

625 6TH Ave S Ste 385
St Petersburg, FL 33701-4665

Mailing address

625 6TH Ave S Ste 385
St Petersburg, FL 33701-4665
Phone (727) 553-7100

Other identifiers 2

IdentifierTypeStateIssuer
1051659MedicaidLA
01307561MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110701000001 FL Practitioner - Otolaryngology 6002983830 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Florida College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohi West Medical Group LLCGroup PAC ID 2668882507, 200 clinicians

Practice addresses (Care Compare)

625 6TH Ave S
Suite 385
St Petersburg, FL 33701-4665
Phone (727) 553-7100

Hospital & facility affiliations

  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME128854FLMDOtolaryngology Physician
MD.026194LAMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Ohi West Medical Group, LLC CurrentSince May 7, 2022 Accepting new patients
Ohi West Medical Group, LLC Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2022 Accepting new patients
Ohi West Medical Group, LLC CurrentSince May 7, 2022 Accepting new patients
North Carolina Eye Ear Nose & Throat PA Otolaryngology Past Accepting new patients
North Carolina Eye Ear Nose & Throat, PA Otolaryngology Past Accepting new patients

Locations

22326 US Highway 27
Ste C
Leesburg, FL 34748
Phone (407) 635-3030

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

625 6th Ave S
Ste 385
St Petersburg, FL 33701
Phone (727) 553-7100

601 7th St S
Ste 575
St Petersburg, FL 33701
Phone (727) 553-7100

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: plindberg360128@orlandohealth.medalliesdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1467640771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S STE 385",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014665",
            "telephone_number": "727-553-7100",
            "fax_number": "727-553-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S STE 385",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014665",
            "telephone_number": "727-553-7100",
            "fax_number": "727-553-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBERG",
        "first_name": "PAIGE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "026194",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "LA",
            "license": "MD.026194",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME128854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1051659",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01307561",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.