Provider Demographics
NPI:1578501854
Name:MAY, LINDA S (DO)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:S
Last Name:MAY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:MAY
Other - Last Name:DIMARCO, LEITZINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:300 STATE ST STE 401
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-1438
Mailing Address - Country:US
Mailing Address - Phone:814-877-5333
Mailing Address - Fax:814-877-5329
Practice Address - Street 1:300 STATE ST STE 401
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-1438
Practice Address - Country:US
Practice Address - Phone:814-877-5333
Practice Address - Fax:814-877-5329
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007791L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014709140007Medicaid
PA051415OtherHIGHMARK BLUE SHIELD
115049OtherHEALTHAMERICA
323302OtherUPMC
F84420Medicare UPIN
323302OtherUPMC
051415NNQMedicare ID - Type Unspecified