Provider Demographics
NPI:1053390914
Name:LINDAMAN, MATTHEW R (DO)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:R
Last Name:LINDAMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 53RD AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-7564
Mailing Address - Country:US
Mailing Address - Phone:563-322-0971
Mailing Address - Fax:563-324-0615
Practice Address - Street 1:2300 53RD AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-7564
Practice Address - Country:US
Practice Address - Phone:563-322-0971
Practice Address - Fax:563-324-0615
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA3309207X00000X
IL036102562207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1214528Medicaid
IAIA01A7OtherJOHN DEERE FAMILY
IAP00195719OtherRR MEDICARE
IAIA01A8OtherJOHN DEERE FAMILY
35021OtherMIDLANDS CHOICE
IA37771OtherWELLMARK
IL92233OtherWELLMARK
ILIL01A9OtherJOHN DEERE FAMILY
153910OtherIA HEALTH SOLUTIONS
IAIA01A5OtherJOHN DEERE FAMILY
IAIA01A6OtherJOHN DEERE FAMILY
063409OtherHEALTH ALLIANCE
IA37770OtherWELLMARK
IL8121085OtherBCBS
IAIA01B1OtherJOHN DEERE FAMILY
153910OtherIA HEALTH SOLUTIONS
IA37770OtherWELLMARK
IL8121085OtherBCBS