Individual provider Active NPI

Walter Jay Linder, MD

  • Family Medicine Physician
  • Kinsley, KS
National Provider Identifier
1710958293
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0435403 Issued in KS
Practice address
604 W 8TH St
Kinsley, KS 67547-2329
Phone
(620) 659-2732
Fax
(620) 659-3850
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
H3104TXMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: walter.linder.p1@direct.edcomed.nextgenshare.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H3104 TX
Family Medicine Physician 207Q00000X 0435403 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

604 W 8TH St
Kinsley, KS 67547-2329

Mailing address

604 W 8TH St
Kinsley, KS 67547-2329
Phone (620) 659-2732

Other practice location 1

620 W 8th St
Kinsley, KS 67547-2329
Phone (620) 659-3621

Other practice location 2

205 Hall St
Spearville, KS 67876-8553
Phone (620) 385-2963

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
101665102MedicaidTX
81515GOtherTXBCBS

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address mdowler@edcomed.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 8, 2021.

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1710958293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W 8TH ST",
            "city": "KINSLEY",
            "state": "KS",
            "postal_code": "675472329",
            "telephone_number": "620-659-2732",
            "fax_number": "620-659-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W 8TH ST",
            "city": "KINSLEY",
            "state": "KS",
            "postal_code": "675472329",
            "telephone_number": "620-659-2732",
            "fax_number": "620-659-3850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Kinsley",
            "state": "KS",
            "postal_code": "675472329",
            "country_code": "US",
            "telephone_number": "620-659-3621",
            "fax_number": "620-659-3810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Hall St",
            "address_purpose": "LOCATION",
            "city": "Spearville",
            "state": "KS",
            "postal_code": "678768553",
            "country_code": "US",
            "telephone_number": "620-385-2963",
            "fax_number": "620-385-2811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDER",
        "first_name": "WALTER",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H3104",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0435403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101665102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81515G",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdowler@edcomed.com",
            "affiliation": "N",
            "endpointDescription": "RHC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "620 W 8th St",
            "city": "Kinsley",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675472329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kinsley, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.