Lynda Packard, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0001276 Issued in MD

Practice address

26005 Ridge Rd
Suite 200
Damascus, MD 20872-1892

Phone

(301) 414-2300

Fax

(301) 414-2306

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1720209646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9909 GREENEL RD",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208722826",
            "telephone_number": "301-414-2300",
            "fax_number": "301-414-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26005 RIDGE RD",
            "address_2": "SUITE 200",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208721892",
            "telephone_number": "301-414-2300",
            "fax_number": "301-414-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "LYNDA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0001276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "C01476",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• On Call Healthcare LLC
• Anita Opara
• Opening New Doors Foundation Inc.
• Vilma Ortega, MD
• Sheila M. Overton, MD
• Benjamin Frank Papoi, D.O.
• Para Med Medical Transportation, Inc.
• Nisara Patamawenu
• Jayesh N Patel
• Stephanie Payton-Petersen, MD

• Physician Assistant in Damascus, MD
• Providers in Damascus, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.