Provider Demographics
NPI:1649207416
Name:LINDER, TIMOTHY FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:FRANCIS
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 1:1851 N MCKENZIE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-4700
Mailing Address - Country:US
Mailing Address - Phone:251-424-1232
Mailing Address - Fax:251-424-1954
Practice Address - Street 1:1851 N MCKENZIE ST STE 101
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-4703
Practice Address - Country:US
Practice Address - Phone:251-424-1232
Practice Address - Fax:251-424-1954
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS16383207Q00000X
TN14377207Q00000X
ALMD.44726207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN115570Medicaid
TN3124185OtherBLUE CROSS BLUE SHIELD A
TN12097Medicaid
TN3124186OtherBLUE CROSS BLUE SHIELD H
TN3717101Medicaid
TN3123020OtherBLUE CROSS BLUE SHIELD S
TN12097Medicaid
080158635Medicare ID - Type UnspecifiedRAILROAD MEDICARE
TN3124185OtherBLUE CROSS BLUE SHIELD A
TN3717101Medicaid
TN3123020OtherBLUE CROSS BLUE SHIELD S