Provider Demographics
NPI:1013912583
Name:POWERS, LINDA P (MD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:P
Last Name:POWERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 W ATLANTIC ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HILL
Mailing Address - State:VA
Mailing Address - Zip Code:23970-1906
Mailing Address - Country:US
Mailing Address - Phone:434-447-6969
Mailing Address - Fax:434-447-2240
Practice Address - Street 1:514 W ATLANTIC ST
Practice Address - Street 2:
Practice Address - City:SOUTH HILL
Practice Address - State:VA
Practice Address - Zip Code:23970-1906
Practice Address - Country:US
Practice Address - Phone:434-447-6969
Practice Address - Fax:434-447-2240
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2017-01-13
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-03-27
Provider Licenses
StateLicense IDTaxonomies
VA0101040317207RE0101X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA171954OtherBCBS #
VA186319OtherMEDCOST KB
VA189200OtherBCBS #
VA299664OtherSOUTHERN HEALTH
VA890559ROtherNC MEDICAID
VA1013912583Medicaid
VA186318OtherMEDCOST
VA010252504Medicaid
VA189220OtherBCBS #
VA2173698OtherCIGNA
VA60110OtherCARENET KB
VA010121809OtherVA PREMIER
VA010121809Medicaid
VA010252491OtherVA PREMIER KB
VA43951OtherOPTIMA SH
VA4456571OtherAETNA
VA1013912583OtherNPI
VA409789OtherSOUTHERN HEALTH KB
VAP00205866OtherSH RR MEDICARE
VA4456571OtherAETNA
VA1013912583OtherNPI
VA1013912583Medicaid
VA498906Medicare Oscar/Certification
VA009848K59Medicare PIN
VA006583S75Medicare PIN
VA1013912583Medicare PIN
VA010252491OtherVA PREMIER KB