Provider Demographics
NPI:1275723462
Name:LINDEN, SAMANTHA GAIL (DO, MPH, MS)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:GAIL
Last Name:LINDEN
Suffix:
Gender:F
Credentials:DO, MPH, MS
Other - Prefix:DR
Other - First Name:SAMANTHA
Other - Middle Name:GAIL
Other - Last Name:SHELTON-HICKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO, MPH
Mailing Address - Street 1:1001 BELLEFONTAINE AVE
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-2800
Mailing Address - Country:US
Mailing Address - Phone:501-366-9689
Mailing Address - Fax:
Practice Address - Street 1:1001 BELLEFONTAINE AVE
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-2800
Practice Address - Country:US
Practice Address - Phone:501-366-9689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.010266207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology