Organization Active NPI

Linda G. Everett, MD, PA

  • Internal Medicine Physician
  • Avondale, PA
National Provider Identifier
1790909539
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD425340 Issued in PA
Legal business name
LINDA G. EVERETT, MD, PA
Doing business as
Everett Medical
Practice address
1284 Gap Newport Pike
Avondale, PA 19311-9503
Phone
(610) 268-5560
Fax
(888) 557-4504
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Dr. Linda G Everett, M.D.
Title
President
Phone
(610) 268-5560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD425340 PA Primary

Addresses

Primary practice location

1284 Gap Newport Pike
Avondale, PA 19311-9503

Mailing address

1284 Gap Newport Pike
Avondale, PA 19311-9503
Phone (610) 268-5560

Other identifiers 1

IdentifierTypeStateIssuer
101393738001MedicaidPA

Other names 1

  • Everett Medical Doing business as

National Provider Directory

National Provider Directory

Locations

1284 Gap Newport Pike
Avondale, PA 19311
Phone (610) 268-5560

2217 Baltimore Pike
Lowr
Oxford, PA 19363
Phone (610) 932-3281

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1790909539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1284 GAP NEWPORT PIKE",
            "city": "AVONDALE",
            "state": "PA",
            "postal_code": "193119503",
            "telephone_number": "610-268-5560",
            "fax_number": "888-557-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 GAP NEWPORT PIKE",
            "city": "AVONDALE",
            "state": "PA",
            "postal_code": "193119503",
            "telephone_number": "610-268-5560",
            "fax_number": "888-557-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA G. EVERETT, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-268-5560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD425340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101393738001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everett Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avondale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.