Individual provider Active NPI

Lindsay S Michael, DO

  • Family Medicine Physician
  • Elmira, NY
National Provider Identifier
1851706949
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS017771 Issued in PA
Practice address
1316 College Ave
Elmira, NY 14901-1169
Phone
(607) 664-4640
Fax
(607) 733-4404
NPI assigned
Jun 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 301761 NY
Family Medicine Physician 207Q00000X OS017771 PA Primary

Addresses

Primary practice location

1316 College Ave
Elmira, NY 14901-1169

Mailing address

1316 College Ave
Elmira, NY 14901-1169
Phone (607) 664-4640

Other identifiers 1

IdentifierTypeStateIssuer
103143663MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170911002156 PA Practitioner - Family Practice 7315164522 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS017771PAMDFamily Medicine Physician
301761NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Family Medicine Current Accepting new patients
Guthrie Medical Group, P.C. Family Medicine CurrentSince Aug 17, 2020 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Jul 9, 2017 Accepting new patients
Guthrie Medical Group, P.C. Family Medicine CurrentSince Aug 17, 2020 Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 1, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 1, 2018 Accepting new patients
Pinnacle Health Regional Physicians Family Medicine CurrentSince Jul 9, 2017 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Ste 2
Carlisle, PA 17015
Phone (717) 782-4785

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

63 S Main St
Mansfield, PA 16933
Phone (570) 662-5771

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

7 Water St
Wellsboro, PA 16901
Phone (570) 724-1010

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1851706949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 COLLEGE AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149011169",
            "telephone_number": "607-664-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 COLLEGE AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149011169",
            "telephone_number": "607-664-4640",
            "fax_number": "607-733-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "LINDSAY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "301761",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS017771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103143663",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.