Lynn Adair Demasters, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3780 Issued in AZ

Practice address

20201 N Scottsdale Healthcare Dr
Ste 280
Scottsdale, AZ 85255-4134

Phone

(480) 272-6344

Fax

(480) 307-9327

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lynn Adair Lundquist Former name

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

• Treasure Valley Urology PLLC

  • Urology Physician
  • Meridian, ID
  • NPI 1699242123
  Medicare reassignment

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1073569083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20201 N SCOTTSDALE HEALTHCARE DR",
            "address_2": "STE 280",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554134",
            "telephone_number": "480-272-6344",
            "fax_number": "480-307-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 N SCOTTSDALE HEALTHCARE DR",
            "address_2": "STE 280",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554134",
            "telephone_number": "480-272-6344",
            "fax_number": "480-307-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMASTERS",
        "first_name": "LYNN",
        "middle_name": "ADAIR",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA333",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "633029",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "LUNDQUIST",
            "middle_name": "ADAIR",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ruth B. Delvecchio, MA CCC-SLP
• Michael R Demangone, MD
• Aymet Demara, LISAC
• Bradley Xavier Demark, D.D.S.
• Natalie Elene Demartini, LMSW
• Desiree Shantae Demby
• Kimberly Nicole Demelio
• Stacie E Dement, P.A.-C.
• Colleen Demeo
• Andrew Steven Demotto, PHARMD

• Physician Assistant in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.