Active NPI
Lee B Lindquist, M.D.
- Family Medicine Physician
- Cornelius, NC
National Provider Identifier
1679552822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35466
- Practice address
- 19485 Old Jetton Rd Ste 100
Cornelius, NC 28031-6583 - Phone
- (704) 384-1775
- Fax
- (704) 384-1776
- NPI assigned
- Jan 15, 2006
- Last updated
- Apr 23, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35466 | NC | Primary |
Addresses
Primary practice location
19485 Old Jetton Rd Ste 100
Cornelius, NC 28031-6583
Mailing address
PO Box 602362
Charlotte, NC 28260-2362
Phone (704) 384-1775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8967729 | Medicaid | NC |
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 |
|---|---|---|---|
| 5969 | NC | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Medical Group, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southeast Children's Urology
- Pediatric Urology Physician
- Huntersville, NC
- NPI 1881707487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271980800000",
"number": "1679552822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602362",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602362",
"telephone_number": "704-384-1775",
"fax_number": "704-384-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19485 OLD JETTON RD STE 100",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280316583",
"telephone_number": "704-384-1775",
"fax_number": "704-384-1776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDQUIST",
"first_name": "LEE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-15",
"last_updated": "2010-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "35466",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8967729",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cornelius, NC
- Adam Michael Levine, MSW
- Stephanie Levy, LCMHCA, NCC
- Jennifer Marie Lidstrom, M.S.,D.C.,P.C.
- Lifeline Chiropractic, PLLC.
- Sharon Virginia Linder Harrison
- Lindsey Morgan PLLC
- Lisa Moore, PT, DPT Corporation
- Kindra Janee Littman-Dekine, NURSE PRACTITIONER
- LKN Weight Loss and Wellness LLC
- Locke Health, LLC (HomeWell Care Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.