Individual provider Active NPI

Kirsten Trotter Lynch, MD

  • Procedural Dermatology Physician
  • Beachwood, OH
National Provider Identifier
1114928041
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
35-059669 Issued in OH
Practice address
3737 Park East Dr
Suite 109
Beachwood, OH 44122-4347
Phone
(216) 464-7333
Fax
(216) 464-2696
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 35-059669 OH Primary

Addresses

Primary practice location

3737 Park East Dr
Suite 109
Beachwood, OH 44122-4347

Mailing address

3737 Park East Dr Ste 109
Beachwood, OH 44122-4329
Phone (216) 464-7333

Other identifiers 2

IdentifierTypeStateIssuer
070008210OtherOHRAILROAD MEDICARE
0794529MedicaidOH

Other names 1

  • Kirsten Marion Trotter Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address klynch@theparkerclinic.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100603000023 OH Practitioner - Dermatology 3577692474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Virginia Commonwealth University, School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parker Skin and Aesthetic Clinic IncGroup PAC ID 4587614813, 10 clinicians

Practice addresses (Care Compare)

3737 Park E Dr
Suite 109
Beachwood, OH 44122-4329
Phone (216) 464-7333

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions535
Removal or shaving of skin growth1-10
Skin biopsy155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-059669OHMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Skin & Aesthetic Clinic Inc. Procedural Dermatology CurrentSince Oct 1, 2015 Accepting new patients

Locations

3737 Park East Dr
Ste 109
Beachwood, OH 44122
Phone (216) 464-7333

Interoperability endpoints

  • Direct secure messaging: klynch@theparkerclinic.emadirect.md
  • Direct secure messaging: klynch219285@ehrdirect.uhhospitals.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1114928041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 PARK EAST DR STE 109",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224329",
            "telephone_number": "216-464-7333",
            "fax_number": "216-464-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 PARK EAST DR",
            "address_2": "SUITE 109",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224347",
            "telephone_number": "216-464-7333",
            "fax_number": "216-464-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "KIRSTEN",
        "middle_name": "TROTTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "OH",
            "license": "35-059669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070008210",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0794529",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klynch@theparkerclinic.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "EMA Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3737 Park East Dr",
            "address_2": "Suite 109",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441224347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "TROTTER",
            "middle_name": "MARION",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.