Basic Information
| Provider Information | |||||||||
| NPI: | 1689645491 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LINDERMAN | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 601888 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282601888 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7049822683 | ||||||||
| FaxNumber: | 7045124808 | ||||||||
| Practice Location | |||||||||
| Address1: | 105 YADKIN ST | ||||||||
| Address2: | SUITE 303 | ||||||||
| City: | ALBEMARLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280013449 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7049822683 | ||||||||
| FaxNumber: | 7045124808 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2006 | ||||||||
| LastUpdateDate: | 01/11/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080A0000X | 25046 | NC | Y | Allopathic & Osteopathic Physicians | Pediatrics | Adolescent Medicine | 146D00000X | MD443468 | PA | N | Emergency Medical Service Providers | Personal Emergency Response Attendant |
ID Information
| ID | Type | State | Issuer | Description | 8952024 | 05 | NC | MEDICAID | 1689645491 | 05 | NC | MEDICAID |