Gerald R Lindholm, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0417873 Issued in KS

Practice address

700 Medical Center Drive
Suite 210
Newton, KS 67114-9017

Phone

(316) 283-2800

Fax

(316) 283-3575

NPI assigned

Mar 7, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1871560136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 210",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149017",
            "telephone_number": "316-283-2800",
            "fax_number": "316-283-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 210",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149017",
            "telephone_number": "316-283-2800",
            "fax_number": "316-283-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDHOLM",
        "first_name": "GERALD",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0417873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100083100A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Newton, KS
• Providers in Newton, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.