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Active NPI 1962031963 Individual Practitioner Male Practitioner

Theodore Lin

Surgery • Philadelphia, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Theodore Lin is a certified Surgery practicing in Philadelphia, PA. With approximately 6 years of clinical experience since graduating from University Of Arizona College Of Medicine in 2020, Theodore Lin delivers high-quality medical care to the local community at 3400 SPRUCE ST.

Theodore Lin is affiliated with Sjhmc Physician Services and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3400 Spruce St

Philadelphia, PA 191044238

Telephone 2156624000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Arizona College Of Medicine

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Philadelphia, PA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -14.6 yrs vs City Avg
City Avg: 20.6 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
455 Specialists

Practicing in Philadelphia, PA (1976 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lin (6 Years) 6 Yrs
Philadelphia Specialty Average (20.6 Years) 20.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-06-23
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD495152

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Sjhmc Physician Services

500 W Thomas Rd, Phoenix, AZ 850134235

Phone: 6024066017

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Samantha Volpe

Physician Assistant

NPI 1003634577
Nicollette Colleluori

Nurse Practitioner

NPI 1003703331
Daniel Jenkins

Student in an Organized Health Care Education/Training Program

NPI 1003751991
Tristan Boyer , RN

Registered Nurse - Critical Care Medicine

NPI 1003776808

Registered Nurse

Dr. Hannah Mclane , MD

Preventive Medicine - Occupational Medicine

NPI 1013356187

Doctor of Medicine (M.D.)

Dr. Matthew Ho , MD PHD

Internal Medicine - Hematology & Oncology

NPI 1013545151

MDPHD

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 23, 2026

Registered at 3400 SPRUCE ST, PHILADELPHIA, PA 191044238 (Tel: 2156624000)

📍
Updated Business Mailing Address June 23, 2026

Registered at 1500 LOCUST ST APT 1816, PHILADELPHIA, PA 191024316 (Tel: 2156624000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2026

Surgery (License #MD495152 in PA)

📍
Updated Business Mailing Address August 14, 2025

Registered at 500 W THOMAS RD STE 500, PHOENIX, AZ 850134220 (Tel: 6024064000)

NPI Profile Active April 02, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2020

Registered at 350 W THOMAS RD, PHOENIX, AZ 850134496 (Tel: 6024066540)

📍
Updated Business Mailing Address April 02, 2020

Registered at 4001 N 3RD ST STE 290, PHOENIX, AZ 850122071

👤
Provider Name / Credentials Updated April 02, 2020

Recorded as THEODORE LIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 02, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962031963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2020
Last Update: June 23, 2026
Sole Proprietor: No

Mailing Address

1500 Locust St Apt 1816

Philadelphia, PA 191024316

Phone: 2156624000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.