NPIMap

Individual provider Active NPI

Ryan J Lynch, DO

  • Neurology Physician
  • Erie, PA
National Provider Identifier
1013038850
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS013094 Issued in PA
Practice address
5535 Peach St
Erie, PA 16509-2603
Phone
(814) 868-3488
Fax
(814) 868-3499
NPI assigned
Apr 2, 2007
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OS013094 PA
Neurology Physician 2084N0400X 34009241 OH
Neurology Physician 2084N0400X OS013094 PA Primary

Addresses

Primary practice location

5535 Peach St
Erie, PA 16509-2603

Mailing address

1 Lecom PL
Erie, PA 16505-2571
Phone (814) 868-2529

Other practice location 1

965 Shamrock Ln
Corry, PA 16407-1196
Phone (814) 665-8288

Other identifiers 2

IdentifierTypeStateIssuer
2828122MedicaidOH
1018895180003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070627000086 PA Practitioner - Neurology 7214036540 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Physical Medicine and Rehabilitation
Education
Lake Erie College of Osteopathic Medicine, Erie, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millcreek Community HospitalGroup PAC ID 8426020173, 67 clinicians

Practice addresses (Care Compare)

101 E High St
Union City, PA 16438-1101
Phone (814) 438-2088

5535 Peach St
FL 1
Erie, PA 16509-2603
Phone (814) 868-3488

965 Shamrock LN
Corry, PA 16407-9121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Millcreek Community Hospital Current Accepting new patients
Medical Associates of Erie CurrentSince Dec 31, 2015 Accepting new patients
Medical Associates of Erie CurrentSince Dec 31, 2015 Accepting new patients
Corry Memorial Hospital Association CurrentSince Nov 2, 2020 Accepting new patients
Millcreek Community Hospital CurrentSince Jun 15, 2020 Accepting new patients
Medical Associates of Erie Current Accepting new patients
Millcreek Community Hospital Neurology CurrentSince Jun 15, 2020 Accepting new patients
Neurology and Neuroscience Associates, Inc. Neurology Past Accepting new patients

Locations

300 York St
Corry, PA 16407
Phone (814) 664-3979

965 Shamrock Ln
Corry, PA 16407
Phone (814) 644-4641

1 Lecom Pl
Erie, PA 16505
Phone (814) 868-2524

2000 W Grandview Blvd
Erie, PA 16509
Phone (814) 868-1001

2625 Parade St
Erie, PA 16504
Phone (814) 452-6383

5515 Peach St
Erie, PA 16509
Phone (814) 868-8251

5535 Peach St
Erie, PA 16509
Phone (814) 868-3488

5535 Peach St
Fl 1
Erie, PA 16509
Phone (814) 868-3488

101 E High St
Union City, PA 16438
Phone (814) 438-2088

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10044/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rlynch@maoeim-pa.direct.office.nextgen.com
  • Direct secure messaging: ryan.lynch.1@10044.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1013038850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LECOM PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052571",
            "telephone_number": "814-868-2529",
            "fax_number": "814-868-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092603",
            "telephone_number": "814-868-3488",
            "fax_number": "814-868-3499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "965 Shamrock Ln",
            "address_purpose": "LOCATION",
            "city": "Corry",
            "state": "PA",
            "postal_code": "164071196",
            "country_code": "US",
            "telephone_number": "814-665-8288",
            "fax_number": "814-664-8618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "RYAN",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "OS013094",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "34009241",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "OS013094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2828122",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018895180003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.