Provider Demographics
NPI:1538442314
Name:BINDER, LINDI B (PA-C)
Entity type:Individual
Prefix:
First Name:LINDI
Middle Name:B
Last Name:BINDER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:LINDI
Other - Middle Name:BELL
Other - Last Name:FARMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:300 N MORLEY ST STE A
Mailing Address - Street 2:
Mailing Address - City:MOBERLY
Mailing Address - State:MO
Mailing Address - Zip Code:65270-2334
Mailing Address - Country:US
Mailing Address - Phone:660-263-1225
Mailing Address - Fax:660-263-1255
Practice Address - Street 1:300 N MORLEY ST STE A
Practice Address - Street 2:
Practice Address - City:MOBERLY
Practice Address - State:MO
Practice Address - Zip Code:65270-2334
Practice Address - Country:US
Practice Address - Phone:660-263-1225
Practice Address - Fax:660-263-1255
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011030633363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO202144804Medicaid
MO000009507Medicare PIN