Wen I Lin M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0032460 Issued in FL

Legal business name

WEN I LIN M.D., P.A.

Practice address

3100 US Highway 1 S
Suite 2
Saint Augustine, FL 32086-6351

Phone

(904) 797-2921

Fax

(904) 797-6715

NPI assigned

Sep 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Wen I Lin, M.D.,P.A.

Title

Owner/Physican

Phone

(904) 797-2921

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1487935003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 US HIGHWAY 1 S",
            "address_2": "SUITE 2",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320866351",
            "telephone_number": "904-797-2921",
            "fax_number": "904-797-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 US HIGHWAY 1 S",
            "address_2": "SUITE 2",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320866351",
            "telephone_number": "904-797-2921",
            "fax_number": "904-797-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEN I LIN M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "WEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER/PHYSICAN",
        "authorized_official_telephone_number": "904-797-2921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,P.A."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0032460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "55103",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038135700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5819011",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "406343598",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.