Provider Demographics
NPI:1548388408
Name:JAMES H. LINDSAY, JR, M.D., P.C.
Entity Type:Organization
Organization Name:JAMES H. LINDSAY, JR, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:HAZZARD
Authorized Official - Last Name:LINDSAY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:865-862-5608
Mailing Address - Street 1:PO BOX 5896
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37928-0896
Mailing Address - Country:US
Mailing Address - Phone:865-862-5608
Mailing Address - Fax:865-982-5185
Practice Address - Street 1:2908 TAZEWELL PIKE
Practice Address - Street 2:SUITE A-D
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-1878
Practice Address - Country:US
Practice Address - Phone:865-862-5608
Practice Address - Fax:865-982-5185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16255207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN30147252Medicare PIN
TND71823Medicare UPIN