Provider Demographics
NPI:1770571002
Name:LINDLEY, SHEILA G (MD)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:G
Last Name:LINDLEY
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 1:2500 NORTH STATE STREET
Mailing Address - Street 2:ORTHOPAEDIC SURGERY
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216
Mailing Address - Country:US
Mailing Address - Phone:601-984-5488
Mailing Address - Fax:601-984-5151
Practice Address - Street 1:2500 NORTH STATE STREET
Practice Address - Street 2:ORTHOPAEDIC SURGERY
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216
Practice Address - Country:US
Practice Address - Phone:601-984-5488
Practice Address - Fax:601-984-5151
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS14819207XS0106X, 2086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
200036046OtherMCARE RAILROAD
MS00116645Medicaid
MS116645Medicaid
MSP01402435OtherRR MEDICARE
LA1435864Medicaid
AL106674Medicaid
512200006OtherMC R TRAN
MS116645Medicaid
LA1435864Medicaid
MS512I200006Medicare PIN
MS302I205877Medicare PIN