Active NPI
Linda M Dinerman, MD
- Adolescent Medicine (Family Medicine) Physician
- Huntsville, AL
National Provider Identifier
1902887573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Family Medicine) Physician
- License
- 24103
- Practice address
- 116 Lily Flagg Rd SW
Suite C
Huntsville, AL 35802-3066 - Phone
- (256) 883-1110
- Fax
- (256) 883-1114
- NPI assigned
- Nov 9, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | 24103 | AL | Primary |
Addresses
Primary practice location
116 Lily Flagg Rd SW
Suite C
Huntsville, AL 35802-3066
Mailing address
420 Lowell Drive
Suite 103
Huntsville, AL 35801
Phone (256) 535-5940
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51505321 | Other | AL | BLUE CROSS BLUE SHIELD |
| 631284727 | Other | TAX ID | |
| 0005005203 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24103 | AL | MD | Adolescent Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263772800000",
"number": "1902887573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 LOWELL DRIVE",
"address_2": "SUITE 103",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35801",
"telephone_number": "256-535-5940",
"fax_number": "256-535-5954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 LILY FLAGG RD SW",
"address_2": "SUITE C",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358023066",
"telephone_number": "256-883-1110",
"fax_number": "256-883-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINERMAN",
"first_name": "LINDA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-09",
"last_updated": "2010-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0000X",
"taxonomy_group": "",
"desc": "Family Medicine, Adolescent Medicine",
"state": "AL",
"license": "24103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51505321",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "631284727",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005005203",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.