TREVOR D. LINEBERRY M.D. NPI 1316939945

NPI Information

NPI: 1316939945
Provider Name: TREVOR D. LINEBERRY, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
ONE MEMORIAL DRIVE
SUITE 300
DECATUR, IL
ZIP 62526
Phone: (217) 875-5545
Get Directions

Trevor D. Lineberry, M.D. is an obstetrics gynecology in Decatur, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Trevor D. Lineberry, M.D. NPI is 1316939945. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

ONE MEMORIAL DRIVE
SUITE 300
DECATUR, IL
ZIP 62526
Phone: (217) 875-5545
Fax: (217) 875-4680

The enumeration date for this NPI number is 8/19/2005 and was last updated on 10/20/2010.

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	207V00000X	Obstetrics & Gynecology		036110110	ILLINOIS	No
2	207V00000X	Obstetrics & Gynecology		036.110110	ILLINOIS	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
1	H57256	MEDICARE UPIN
2	K01811	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
3	H57256	MEDICARE UPIN	ILLINOIS
4	036110110	MEDICAID	ILLINOIS
5	036.110110	MEDICAID	ILLINOIS

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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