Provider Demographics
NPI:1578640660
Name:LINDER, JAMES S (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:S
Last Name:LINDER
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 1:6258 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-4713
Mailing Address - Country:US
Mailing Address - Phone:901-680-1990
Mailing Address - Fax:901-680-1944
Practice Address - Street 1:6258 POPLAR AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-4713
Practice Address - Country:US
Practice Address - Phone:901-680-1990
Practice Address - Fax:901-680-1944
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34047207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS122126Medicaid
TN4063288OtherBCBS
P00069437OtherMEDICARE RAILROAD
AR139924001Medicaid
3235267OtherAETNA
TN3850740Medicaid
TN3850740Medicaid
G45972Medicare UPIN
MS180000324Medicare ID - Type Unspecified
AR139924001Medicaid