Healthcare Provider Details
I. General information
NPI: 1295817864
Provider Name (Legal Business Name): DAVID P LINTON D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/20/2006
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19800 EAST ST STE 120
WESTFIELD IN
46074-3833
US
IV. Provider business mailing address
6626 E 75TH ST STE 500
INDIANAPOLIS IN
46250-2890
US
V. Phone/Fax
- Phone: 317-621-7120
- Fax: 317-621-7119
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 02003089A |
| License Number State | IN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | N1382 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 02003089 |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: