NPIMap

Individual provider Active NPI

David O Lindstrom, MD

  • Family Medicine Physician
  • Everett, WA
National Provider Identifier
1902852569
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00041099 Issued in WA
Practice address
4301 Hoyt Ave
Everett, WA 98203-2316
Phone
(425) 317-8025
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00041099 WA Primary

Addresses

Primary practice location

4301 Hoyt Ave
Everett, WA 98203-2316

Mailing address

4301 Hoyt Ave
Everett, WA 98203-2316
Phone (425) 317-8025

Other identifiers 4

IdentifierTypeStateIssuer
P00166054OtherWARAILROAD MEDICARE
0160037OtherWALABOR AND INDUSTRY
8299935MedicaidWA
MD00041099OtherWASTATE LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041020000812 WA Practitioner - Family Practice 3870554173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4225 Hoyt Ave
Suite D
Everett, WA 98203-2351
Phone (425) 317-8025

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00041099WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Oct 1, 2004 Accepting new patients
Western Washington Medical Group, Inc PS Family Medicine CurrentSince Oct 1, 2004 Accepting new patients
Western Washington Medical Group, Inc PS Family Medicine Past Accepting new patients
Western Washington Medical Group, Inc PS Family Medicine Past Accepting new patients

Locations

1330 Rockefeller Ave
Ste 330
Everett, WA 98201
Phone (425) 252-8375

12728 19th Ave SE
Ste 300
Everett, WA 98208
Phone (425) 252-1116

4301 Hoyt Ave
Everett, WA 98203
Phone (425) 317-8025

4225 Hoyt Ave
Ste D
Everett, WA 98203
Phone (425) 258-3622

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

Interoperability endpoints

  • Direct secure messaging: dlindstrom726901@direct.multicare.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1902852569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 HOYT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032316",
            "telephone_number": "425-317-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 HOYT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032316",
            "telephone_number": "425-317-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSTROM",
        "first_name": "DAVID",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00041099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00166054",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRY",
            "identifier": "0160037",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8299935",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "MD00041099",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.