Active NPI
Lindsey Ma, MD, SC
- Gynecology Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- LINDSEY MA, MD, SC
- Practice address
- 3300 W Willow Knolls Dr
Peoria, IL 61614-8121 - Phone
- (309) 683-0200
- Fax
- (309) 683-0201
- NPI assigned
- Sep 29, 2006
- 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
- Mr. Lindsey Ma, MD
- Title
- President
- Phone
- (309) 683-0200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | IL | Primary | |
| Obstetrics Physician | 207VX0000X | IL |
Addresses
Primary practice location
3300 W Willow Knolls Dr
Peoria, IL 61614-8121
Mailing address
3300 W Willow Knolls Dr
Peoria, IL 61614-8121
Phone (309) 683-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07232118 | Other | IL | BCBS GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2237335 | Lindsey Ma MD SC | Certificate of waiver | Sep 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
5401 N Knoxville Ave
Ste 109
Peoria, IL 61614
Phone (309) 692-2805
3300 W Willow Knolls Dr
Peoria, IL 61614
Phone (309) 683-0200
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Women's Health Nurse Practitioner
- Peoria, IL
- NPI 1942589551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666224000000",
"number": "1821180688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 W WILLOW KNOLLS DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616148121",
"telephone_number": "309-683-0200",
"fax_number": "309-683-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 W WILLOW KNOLLS DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616148121",
"telephone_number": "309-683-0200",
"fax_number": "309-683-0201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDSEY MA, MD, SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A",
"authorized_official_last_name": "MA",
"authorized_official_first_name": "LINDSEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "309-683-0200",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "207VX0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "07232118",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.