Individual provider Active NPI

Elizabeth H Lynk, MD

  • Obstetrics & Gynecology Physician
  • Fort Atkinson, WI
National Provider Identifier
1124383690
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
65179-20 Issued in WI
Practice address
650 McMillen St
Fort Atkinson, WI 53538-1275
Phone
(303) 318-3830
Fax
(303) 318-3825
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 65179-20 WI Primary

Addresses

Primary practice location

650 McMillen St
Fort Atkinson, WI 53538-1275

Mailing address

650 McMillen St
Fort Atkinson, WI 53538-1275
Phone (815) 575-4420

Other names 1

  • Elizabeth Helen Heinz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20161003000170 WI Practitioner - Obstetrics/Gynecology 3577787027 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65179-20WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Healthcare Inc Obstetrics & Gynecology CurrentSince Sep 6, 2016 Accepting new patients
Fort Healthcare Inc Obstetrics & Gynecology CurrentSince Sep 6, 2016 Accepting new patients

Locations

650 McMillen St
Fort Atkinson, WI 53538
Phone (920) 563-8900

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: elizabeth.lynk@direct.forthc.com

Organizations & group practices 2

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1124383690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 MCMILLEN ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381275",
            "telephone_number": "815-575-4420",
            "fax_number": "303-318-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MCMILLEN ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381275",
            "telephone_number": "303-318-3830",
            "fax_number": "303-318-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNK",
        "first_name": "ELIZABETH",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "65179-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HEINZ",
            "middle_name": "HELEN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Atkinson, WI

Sources for this page

Verify at the official NPI Registry.