Active NPI
Robert F Lindberg, D.O.
- Ophthalmology Physician
- Hermitage, PA
National Provider Identifier
1790712453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- OS009750L
- Practice address
- 752 Brookshire Dr
Hermitage, PA 16148-4510 - Phone
- (724) 347-5665
- Fax
- (724) 347-5706
- NPI assigned
- Jun 27, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | OS009750L | PA | Primary |
Addresses
Primary practice location
752 Brookshire Dr
Hermitage, PA 16148-4510
Mailing address
752 Brookshire Dr
Hermitage, PA 16148-4510
Phone (724) 347-5665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1681169 | Medicaid | PA |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS009750L | PA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790712453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "752 BROOKSHIRE DR",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161484510",
"telephone_number": "724-347-5665",
"fax_number": "724-347-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "752 BROOKSHIRE DR",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161484510",
"telephone_number": "724-347-5665",
"fax_number": "724-347-5706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDBERG",
"first_name": "ROBERT",
"middle_name": "F",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "OS009750L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1681169",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hermitage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.