Individual provider Active NPI

John Roborg Lynch, MD

  • Neurology Physician
  • Milwaukee, WI
National Provider Identifier
1043251648
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
EMC0001512 Issued in MI
Practice address
9200 W Wisconsin Ave
Department of Neurology
Milwaukee, WI 53226-3522
Phone
(414) 805-9236
Fax
(414) 805-5252
NPI assigned
Jun 8, 2006
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 49254 WI
Neurology Physician 2084N0400X 13136 SD
Neurology Physician 2084N0400X 104055 MT
Neurology Physician 2084N0400X ME156991 FL
Neurology Physician 2084N0400X EMC0001512 MI Primary

Addresses

Primary practice location

9200 W Wisconsin Ave
Department of Neurology
Milwaukee, WI 53226-3522

Mailing address

9200 W Wisconsin Ave
Department of Neurology
Milwaukee, WI 53226-3522
Phone (414) 805-9236

Other practice location 1

9110 College Pointe Ct
Fort Myers, FL 33919-3244
Phone (239) 208-2206

Other practice location 2

1210 W 18th St Ste 100
Sioux Falls, SD 57104-4650
Phone (605) 312-8500

Other identifiers 1

IdentifierTypeStateIssuer
1043251648MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, GA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220223001694 MI Practitioner - Neurology 0840294773 Reassigns benefits to 3 organizations
I20220817003421 GA Practitioner - Neurology 0840294773 Reassigns benefits to 3 organizations
I20230202001191 FL Practitioner - Neurology 0840294773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Duke University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Medical PracticesGroup PAC ID 1658427042, 286 clinicians

Practice addresses (Care Compare)

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-8300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
EMC0001512MIMDNeurology Physician
104055MTMDNeurology Physician
13136SDMDNeurology Physician
49254WIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Dec 15, 2023 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Dec 15, 2023 Accepting new patients
Lee Memorial Health System CurrentSince Feb 1, 2023 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Current Accepting new patients
Bronson Methodist Hospital Neurology CurrentSince Mar 1, 2022 Accepting new patients
Lakeland Medical Practices CurrentSince Mar 1, 2022 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Sep 6, 2022 Accepting new patients
Lakeland Medical Practices CurrentSince Mar 1, 2022 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Sep 6, 2022 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Sep 6, 2022 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Jul 1, 2006 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Sep 6, 2022 Accepting new patients
Lee Memorial Health System CurrentSince Feb 1, 2023 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

750 Wellington Ave
Ste 3A
Grand Junction, CO 81501
Phone (970) 248-3188

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080

Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Interoperability endpoints

  • Direct secure messaging: jlynch125454@mymichiganhealth.midirect.net

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1043251648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "DEPARTMENT OF NEUROLOGY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-9236",
            "fax_number": "414-805-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "DEPARTMENT OF NEUROLOGY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-9236",
            "fax_number": "414-805-5252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9110 College Pointe Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339193244",
            "country_code": "US",
            "telephone_number": "239-208-2206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 W 18th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571044650",
            "country_code": "US",
            "telephone_number": "605-312-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "JOHN",
        "middle_name": "ROBORG",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "49254",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SD",
            "license": "13136",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MT",
            "license": "104055",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME156991",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "EMC0001512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043251648",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.