Active NPI
Meth Linwong, M.D.
- Ophthalmology Physician
- Marion, IL
National Provider Identifier
1518954965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036-044940
- Practice address
- 1200 W Deyoung St
Marion, IL 62959-4437 - Phone
- (618) 993-5686
- Fax
- (618) 993-5505
- NPI assigned
- Sep 30, 2005
- Last updated
- Oct 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036-044940 | IL | Primary |
| Ophthalmology Physician | 207W00000X | 2005030239 | MO |
Addresses
Primary practice location
1200 W Deyoung St
Marion, IL 62959-4437
Mailing address
1200 W Deyoung St
Marion, IL 62959-4437
Phone (618) 993-5686
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0814870013 | Other | MO | MEDICARE NSC NUMBER |
| 0814870015 | Other | MO | MEDICARE NSC NUMBER |
| P00602754, CI6574 | Other | MO | MEDICARE RAILROAD |
| 0814870006 | Other | MO | MEDICARE NSC NUMBER |
| 136625 | Other | MO | ANTHEM BLUE CROSS BLUE SHIELD OF MO |
| 236679 | Other | HARMONY HEALTH PLAN | |
| 036044940 | Medicaid | IL | |
| 042452 | Other | HEALTH ALLIANCE | |
| 180020545 | Other | IL | MEDICARE RAILROAD |
| 207689712 | Medicaid | MO | |
| 250010 | Other | HEALTHLINK | |
| 0814870001 | Other | IL | MEDICARE NSC NUMBER |
| 0814870017 | Other | MO | MEDICARE NSC NUMBER |
| 0814870009 | Other | IL | MEDICARE NSC NUMBER |
| 0814870002 | Other | MO | MEDICARE NSC NUMBER |
| 0814870024 | Other | IL | MEDICARE NSC NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-044940 | IL | MD | Ophthalmology Physician |
| 2005030239 | MO | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222819200000",
"number": "1518954965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W DEYOUNG ST",
"city": "MARION",
"state": "IL",
"postal_code": "629594437",
"telephone_number": "618-993-5686",
"fax_number": "618-993-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W DEYOUNG ST",
"city": "MARION",
"state": "IL",
"postal_code": "629594437",
"telephone_number": "618-993-5686",
"fax_number": "618-993-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINWONG",
"first_name": "METH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2008-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036-044940",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "2005030239",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC NUMBER",
"identifier": "0814870013",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC NUMBER",
"identifier": "0814870015",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00602754, CI6574",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC NUMBER",
"identifier": "0814870006",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELD OF MO",
"identifier": "136625",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARMONY HEALTH PLAN",
"identifier": "236679",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036044940",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "042452",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "180020545",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207689712",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "250010",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC NUMBER",
"identifier": "0814870001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC NUMBER",
"identifier": "0814870017",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC NUMBER",
"identifier": "0814870009",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC NUMBER",
"identifier": "0814870002",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC NUMBER",
"identifier": "0814870024",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.