Individual provider Active NPI

Lynn T Pawlak, M.S.

  • Audiologist
  • Orchard Park, NY
National Provider Identifier
1285997114
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001272-1 Issued in NY
Practice address
3075 Southwestern Blvd
Suite 102
Orchard Park, NY 14127-1236
Phone
(716) 675-0616
Fax
(716) 675-7101
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001272-1 NY Primary

Addresses

Primary practice location

3075 Southwestern Blvd
Suite 102
Orchard Park, NY 14127-1236

Mailing address

3075 Southwestern Blvd.
Suite 102
Orchard Park, NY 14127-1236
Phone (716) 675-0616

Other names 1

  • Miss Lynn T Witherspoon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120913000627 NY Practitioner - Qualified Audiologist 9436307584 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001272-1NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saif Soniwala,M.D.,PC Current Accepting new patients
Rpci Oncology PC CurrentSince Jun 18, 2025 Accepting new patients

Locations

3075 Southwestern Blvd
Ste 102
Orchard Park, NY 14127
Phone (716) 675-0616

199 Park Club Ln
Ste 200
Williamsville, NY 14221
Phone (716) 634-3340

199 Park Club Ln
Ste 500
Williamsville, NY 14221

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": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1285997114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 SOUTHWESTERN BLVD.",
            "address_2": "SUITE 102",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271236",
            "telephone_number": "716-675-0616",
            "fax_number": "716-675-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 SOUTHWESTERN BLVD",
            "address_2": "SUITE 102",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271236",
            "telephone_number": "716-675-0616",
            "fax_number": "716-675-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLAK",
        "first_name": "LYNN",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001272-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "WITHERSPOON",
            "middle_name": "T",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.