Lyn Leach, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10239 Issued in TX

Practice address

1014 Ferris Ave
Waxahachie, TX 75165-2599

Phone

(972) 351-9984

Fax

(972) 351-9984

NPI assigned

Nov 18, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• Advanced Surgeons & Physicians Network, Inc.

  dba Advanced Medical Group

  • Family Medicine Physician
  • Houston, TX
  • NPI 1508030917
  Medicare reassignment

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1134593841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 FERRIS AVE",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652599",
            "telephone_number": "972-351-9984",
            "fax_number": "972-351-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 FERRIS AVE",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652599",
            "telephone_number": "972-351-9984",
            "fax_number": "972-351-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "LYN",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA10239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon L Law
• Heather Laws, PA-C
• Layin' Style Remodeling LLC
• Lam Le
• Tai Le, RPH
• Michael J. Leath, D.C.
• Melissa Lechowicz, LCSW
• Christopher Ledbetter, FNP-C
• Thomas Glenn Ledbetter, M.D.
• Lee Rehabilitation LLC

• Medical Physician Assistant in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.