Active NPI
Linda G. Everett, MD, PA
- Internal Medicine Physician
- Avondale, PA
National Provider Identifier
1790909539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD425340
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101393738001 | Medicaid | PA |
Other names 1
- Everett Medical
National Provider Directory
National Provider DirectoryLocations
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.