Provider Demographics
NPI:1558323501
Name:LINDY, PETER BARNES (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:BARNES
Last Name:LINDY
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 1:6005 PARK AVE
Mailing Address - Street 2:SUITE 309
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119
Mailing Address - Country:US
Mailing Address - Phone:901-682-5642
Mailing Address - Fax:901-683-5527
Practice Address - Street 1:6005 PARK AVE
Practice Address - Street 2:SUITE 309
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-5202
Practice Address - Country:US
Practice Address - Phone:901-682-5642
Practice Address - Fax:901-683-5527
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2010-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25781207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA200025088OtherRAILROAD MEDICARE
TN0928140001Medicare NSC
TN3083834Medicare PIN
GA200025088OtherRAILROAD MEDICARE