Lynn Arthur Gibney, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

07000385A Issued in IN

Practice address

5388 W 10TH St
Speedway, IN 46224-6818

Phone

(317) 241-2107

Fax

(317) 240-1198

NPI assigned

Jun 4, 2006

Last updated

Jul 21, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Speedway Podiatry Inc.

  • Podiatrist
  • Speedway, IN
  • NPI 1245431865
  Authorized official Same address or phone

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1013955491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5388 W 10TH ST",
            "city": "SPEEDWAY",
            "state": "IN",
            "postal_code": "462246818",
            "telephone_number": "317-241-2107",
            "fax_number": "317-240-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5388 W 10TH ST",
            "city": "SPEEDWAY",
            "state": "IN",
            "postal_code": "462246818",
            "telephone_number": "317-241-2107",
            "fax_number": "317-240-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBNEY",
        "first_name": "LYNN",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000385A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100061860",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominique Burrell
• Erin Clampitt, CTRS
• David Fox Collins, D.D.S.
• Jennifer Reid Collins, PHARMD.
• Community Health Network (HSPT Speedway)
• Joseph T Hudson, D.D.S.
• Jackson Inc
• Krzysztof Kamocki, MD, DDS, PHD
• Kisch, P.C. (Medicine Shoppe)
• Rachel Anne Lee

• Podiatrist in Speedway, IN
• Providers in Speedway, IN by specialty
• Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.