Active NPI
Roger C Lind Jr., MD
- Specialist
- Clarksville, TN
National Provider Identifier
1669447140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 651 Dunlop LN
Clarksville, TN 37040-5015 - Phone
- (931) 502-1000
- NPI assigned
- Feb 20, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
651 Dunlop LN
Clarksville, TN 37040-5015
Mailing address
PO Box 3098
Clarksville, TN 37043-3098
Phone (931) 647-5034
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2005719 | Other | BCBS | |
| 4034357 | Other | TN | BCBS CIC |
| 300069598 | Other | RAILROAD MEDICARE | |
| 300139052 | Other | RAILROAD MEDICARE CIC | |
| 3197361 | Medicaid | TN |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates | Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Clarksville, TN
- NPI 1083689574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1669447140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3098",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370433098",
"telephone_number": "931-647-5034",
"fax_number": "931-552-6663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 DUNLOP LN",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405015",
"telephone_number": "931-502-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIND",
"first_name": "ROGER",
"middle_name": "C",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2005719",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS CIC",
"identifier": "4034357",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300069598",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE CIC",
"identifier": "300139052",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3197361",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.