Active NPI
Kenneth R. Lindyberg MD, PC
- Surgery Physician
- Baltimore, MD
National Provider Identifier
1578510871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- KENNETH R. LINDYBERG MD, PC
- Practice address
- 6701 N Charles St
Suite 4430
Baltimore, MD 21204-6808 - Phone
- (443) 849-6212
- Fax
- (443) 849-6217
- NPI assigned
- May 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth Raymond Lindyberg, M.D.
- Title
- President
- Phone
- (410) 557-0451
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
6701 N Charles St
Suite 4430
Baltimore, MD 21204-6808
Mailing address
2916 Greene Rd
Baldwin, MD 21013-9102
Phone (410) 557-0451
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1578510871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2916 GREENE RD",
"city": "BALDWIN",
"state": "MD",
"postal_code": "210139102",
"telephone_number": "410-557-0451",
"fax_number": "410-557-0451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 N CHARLES ST",
"address_2": "SUITE 4430",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212046808",
"telephone_number": "443-849-6212",
"fax_number": "443-849-6217"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH R. LINDYBERG MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LINDYBERG",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "RAYMOND",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-557-0451",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.