Active NPI
Bo Lin, MD
- Neonatal-Perinatal Medicine Physician
- Springdale, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- E-2339
- Practice address
- 4301 Greathouse Springs Rd
Springdale, AR 72762-8701 - Phone
- (479) 684-3132
- Fax
- (479) 684-3098
- NPI assigned
- Jul 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | E-2339 | AR | Primary |
Addresses
Primary practice location
4301 Greathouse Springs Rd
Springdale, AR 72762-8701
Mailing address
4301 Greathouse Springs Rd
Springdale, AR 72762-8701
Phone (479) 684-3132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1401200001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160518002693 | AR | Practitioner - Pediatric Medicine | 0648569384 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-2339 | AR | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springdale- Bentonville HBP Services, LLC | Neonatal-Perinatal Medicine | Current | Accepting new patients |
| Northwest Arkansas Hospitals, LLC | Past | Accepting new patients |
Locations
3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524
603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000
609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711
4301 Willow Creek Dr
Springdale, AR 72762
Phone (479) 684-3104
Organizations & group practices 2
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.
-
- Neonatal-Perinatal Medicine Physician
- Bentonville, AR
- NPI 1811762701
AR, Neonatal-Perinatal Medicine
-
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359331200000",
"number": "1649299587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 GREATHOUSE SPRINGS RD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727628701",
"telephone_number": "479-684-3132",
"fax_number": "479-684-3098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 GREATHOUSE SPRINGS RD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727628701",
"telephone_number": "479-684-3132",
"fax_number": "479-684-3098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "BO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2013-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "AR",
"license": "E-2339",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1401200001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.