Gordon Lindberg (NPI# 1891889127, PAC ID# 3375523483) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1891889127 |
| PAC ID by PECOS | 3375523483 |
| Professional Enrollment ID | I20161227000209 |
| Full Name | Gordon Lindberg |
| Organization Legal Name | ST JOSEPH MEDICAL GROUP INC |
| Address |
700 Broadway Fort Wayne IN 46802-1402 |
| Phone Number | 2604253681 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1996 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2264413491 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150047 | ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 700 Broadway, Fort Wayne, IN 46802-1402 | 2604253681 | ST JOSEPH MEDICAL GROUP INC |
| 800 Broadway, Suite 115, Fort Wayne, IN 46802-2149 | 2604253636 | ST JOSEPH MEDICAL GROUP INC |
| 800 Broadway, Fort Wayne, IN 46802-2149 | 2604253636 | ST JOSEPH MEDICAL GROUP INC |
| 800 Broadway, Suite 115, Fort Wayne, IN 46802-2149 | 2609697121 | LUTHERAN MEDICAL GROUP LLC |
| 800 Broadway, Fort Wayne, IN 46802-2149 | 2609697121 | LUTHERAN MEDICAL GROUP LLC |
| Organization Legal Name | ST JOSEPH MEDICAL GROUP INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Doyle E Lorenz | Anesthesiology | St Joseph Medical Group Inc | 800 Broadway, Fort Wayne, IN 46802-2149 |
| Christopher T Collie | Anesthesiology | St Joseph Medical Group Inc | 800 Broadway, Fort Wayne, IN 46802-2149 |
| Chik Amechi | Obstetrics/gynecology | St Joseph Medical Group Inc | 800 Broadway, Fort Wayne, IN 46802-2149 |
| Chung-seng Lee | Gastroenterology | St Joseph Medical Group Inc | 800 Broadway, Fort Wayne, IN 46802-2149 |
| Laura C Parker | Clinical Social Worker | St Joseph Medical Group Inc | 800 Broadway, Fort Wayne, IN 46802-2149 |
| Shashi Kant Ahuja | Cardiovascular Disease (cardiology) | St Joseph Medical Group Inc | 800 Broadway, Fort Wayne, IN 46802-2149 |
| Diane L Sullivan | Clinical Social Worker | St Joseph Medical Group Inc | 800 Broadway, Fort Wayne, IN 46802-2149 |
| Brian Allen Youn | Internal Medicine | St Joseph Medical Group Inc | 800 Broadway, Fort Wayne, IN 46802-2149 |
| Marcia K Grant | Clinical Social Worker | St Joseph Medical Group Inc | 415 E Cook Rd, Fort Wayne, IN 46825-3662 |
| Rachael F Rogers | Physician Assistant | St Joseph Medical Group Inc | 800 Broadway, Fort Wayne, IN 46802-2149 |
| Street Address |
700 BROADWAY |
| City | FORT WAYNE |
| State | IN |
| Zip | 46802-1402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikkiya Fraser | Infectious Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| George J Moussally | Nurse Practitioner | Hospital Care Group PC | 700 Broadway, Fort Wayne, IN 46802-1493 |
| Tara J Little | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Calvert B Wait | Internal Medicine | Hospital Care Group PC | 700 Broadway, Fort Wayne, IN 46802-1493 |
| Debra K Brandenberger | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Melissa K Gephart | Nurse Practitioner | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| April Renee Morrison | Infectious Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Dedrick K. Bowe | Pulmonary Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Kristian R Henriquez Mirandona | Internal Medicine | Hospital Care Group PC | 700 Broadway, Fort Wayne, IN 46802-1493 |
| Maryann Meo | General Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie B Price | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| William A Wood | Plastic and Reconstructive Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Glenn Alan Glogas | Undersea and Hyperbaric Medicine | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Darnell J Brown | Plastic and Reconstructive Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Thomas A Kintanar | Family Medicine | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Patrick M Holly | Family Medicine | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Philip A Rettenmaier | Undersea and Hyperbaric Medicine | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Eamon B O'reilly | Plastic and Reconstructive Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Yan Tomas Ortiz-pomales | General Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Douglas E Sawyer | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Find all physicians in zip 46802 | |||
| City | FORT WAYNE |
| Zip Code | 46802 |
| Specialty | GENERAL SURGERY |
| City + Specialty | FORT WAYNE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Gordon Lindberg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.