Healthcare Provider Details

I. General information

NPI: 1184663874
Provider Name (Legal Business Name): JAMES F LINGLEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 09/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GROVE ST
WORCESTER MA
01605-2627
US

IV. Provider business mailing address

PO BOX 1045
WORCESTER MA
01613-1045
US

V. Phone/Fax

Practice location:
  • Phone: 508-752-6068
  • Fax: 508-752-0822
Mailing address:
  • Phone: 508-752-6068
  • Fax: 508-752-0822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number32491
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier6548037017
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerCIGNA
# 2
IdentifierN01543
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerBLUE CROSS BLUE SHIELD
# 3
IdentifierP00116488
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerRAILROAD MEDICARE
# 4
Identifier0007041
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerNEIGHBORHOOD HEALTH PLAN
# 5
Identifier28448
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerFALLON COMMUNITY HEALTH P
# 6
Identifier2005557
Identifier TypeMEDICAID
Identifier StateMA
Identifier Issuer
# 7
Identifier40006
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerHEALTH NEW ENGLAND
# 8
IdentifierAA26595
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerHARVARD PILGRIM HEALTH CA
# 9
Identifier2005557
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerHEALTHY START
# 10
Identifier751263
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerTUFTS HEALTH PLAN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: