Individual provider Active NPI

Gaylene Faye Lynch, D.O.

  • Emergency Medicine Physician
  • Fort Dodge, IA
National Provider Identifier
1023008034
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1849 Issued in IA
Practice address
802 Kenyon Rd
Fort Dodge, IA 50501-5740
Phone
(515) 574-6684
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1849 IA Primary

Addresses

Primary practice location

802 Kenyon Rd
Fort Dodge, IA 50501-5740

Mailing address

1230 River Vista Dr
Des Moines, IA 50315-1050
Phone (515) 283-1360

Other identifiers 3

IdentifierTypeStateIssuer
31549OtherIAWELLMARK OF IOWA
5206888MedicaidIA
54683OtherIAMEDICARE GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070314000433 IA Practitioner - Emergency MedicinePractitioner - Diagnostic Radiology 4688777501 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1849IAMDEmergency Medicine Physician
01899IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarke County Public Hospital Emergency Medicine CurrentSince Jul 11, 2010 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Clarke County Public Hospital CurrentSince Sep 20, 2025 Accepting new patients
Clarke County Public Hospital Emergency Medicine CurrentSince Jul 11, 2010 Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

800 S Fillmore St
Ste A
Osceola, IA 50213
Phone (641) 342-2128

800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184

Interoperability endpoints

  • Direct secure messaging: glynch3516@direct.unitypoint.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1023008034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 RIVER VISTA DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503151050",
            "telephone_number": "515-283-1360",
            "fax_number": "515-246-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015740",
            "telephone_number": "515-574-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "GAYLENE",
        "middle_name": "FAYE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "1849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK OF IOWA",
            "identifier": "31549",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5206888",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "54683",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.