Provider Demographics
NPI:1528064052
Name:LINDLEY, JAMES A (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:LINDLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 53RD AVE
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-6976
Mailing Address - Country:US
Mailing Address - Phone:563-742-4350
Mailing Address - Fax:563-742-4355
Practice Address - Street 1:3415 53RD AVE
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-6976
Practice Address - Country:US
Practice Address - Phone:563-742-4350
Practice Address - Fax:563-742-4355
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036082633207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
020353OtherHEALTH ALLIANCE
IA1906271Medicaid
4796890024OtherDMERC
97790OtherWELLMARK BC/BS
IA1528064052Medicaid
IL0143OtherJOHN DEERE HEALTH PLAN
020130OtherIOWA HEALTH SOLUTIONS
020130OtherIOWA HEALTH SOLUTIONS
IL036082633Medicare UPIN
E43815Medicare UPIN
IL0143OtherJOHN DEERE HEALTH PLAN
IA719260531Medicare PIN