Christopher Brendan Lynch, DO

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

OS006783E Issued in PA

Practice address

208 Lifeline Rd
Ste 201
Stroudsburg, PA 18360-7566

Phone

(570) 476-6700

Fax

(570) 476-0124

NPI assigned

Sep 14, 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 1

Medicare fee-for-service enrollment

Enrolled in PA

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 Osteopathy

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1215922307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 LIFELINE RD",
            "address_2": "STE 201",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607566",
            "telephone_number": "570-476-6700",
            "fax_number": "570-476-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 LIFELINE RD",
            "address_2": "STE 201",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607566",
            "telephone_number": "570-476-6700",
            "fax_number": "570-476-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "CHRISTOPHER",
        "middle_name": "BRENDAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PA",
            "license": "OS006783E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011675650003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy L Lupton, LCSW
• Luxottica of America Inc
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Erica C Lyden, NURSE PRACTITIONER
• Romulo Emilio Macias Sr.
• Claire Mackes, RN
• Jan C. Macmillan, RN
• Magann Family Dentistry
• Judith Ann Magann, D.M.D.

• Pediatric Adolescent Medicine Physician in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Pediatric Adolescent Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.