Gregory T Lynam, MD DDS

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

0101102539 Issued in VA

Practice address

8720 Stony Point Pkwy
Suite 100
Richmond, VA 23235-1988

Phone

(804) 560-5260

Fax

(804) 560-4665

NPI assigned

Nov 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1194706960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 STONY POINT PKWY",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351988",
            "telephone_number": "804-560-5260",
            "fax_number": "804-560-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 STONY POINT PKWY",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351988",
            "telephone_number": "804-560-5260",
            "fax_number": "804-560-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNAM",
        "first_name": "GREGORY",
        "middle_name": "T",
        "credential": "MD DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101102539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006902120",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "278720",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Renee Lykins, DC
• Sheena Althea Lyle, LCSW
• Adraine Nicole Lawrence Lyles, PHARMD.
• Galina Lyles, MD
• Lauren Carter Lyles, MD
• Michelle Catherine Lynam, M.D.
• Alison M Lynch, MD
• Amy Elizabeth Lynch, NNP-BC
• David A Lynch, LCSW
• John Robert Lynch, PH.D.

• Plastic Surgery Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Plastic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.