RONALD LINDQUIST P.A. NPI 1073698031

NPI Information

NPI: 1073698031
Provider Name: RONALD LINDQUIST, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
112 MIMOSA DR
THOMASVILLE, GA
ZIP 31792
Phone: (229) 227-0045
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Ronald Lindquist, P.A. is a medical physician assistant in Thomasville, GA with 22 years of experience. Ronald Lindquist, P.A. NPI is 1073698031. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

112 MIMOSA DR
THOMASVILLE, GA
ZIP 31792-605
Phone: (229) 227-0045
Fax: (229) 227-9120

The NPI 1073698031 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 11/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	003926	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	97WCFBC	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	MEDICARE PROVIDER NUMBER
2	11DO266342	OTHER	GEORGIA	CLIA LAB NUMBER
3	P56949	MEDICARE UPIN	GEORGIA
4	GRP1474	OTHER	GEORGIA	MEDICARE GROUP NUMBER
5	100002377B	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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