Individual provider Active NPI

David C Lynn, MD

  • Surgery Physician
  • Janesville, WI
National Provider Identifier
1316151897
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
64031-20 Issued in WI
Practice address
510 N Terrace St
Janesville, WI 53548-2906
Phone
(608) 756-7277
Fax
(608) 373-3115
NPI assigned
May 10, 2007
Last updated
Aug 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2014-01169 NC
Surgery Physician 208600000X 64031-20 WI Primary

Addresses

Primary practice location

510 N Terrace St
Janesville, WI 53548-2906

Mailing address

510 N Terrace St
Janesville, WI 53548-2906
Phone (608) 756-7277

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
I20150914001912 WI Practitioner - General Surgery 2769799410 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Services, IncGroup PAC ID 9436061363, 32 clinicians

Practice addresses (Care Compare)

11040 N State Rd
Suite 77
Hayward, WI 54843-6391
Phone (715) 934-4245

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-01169NCMDSurgery Physician
64031-20WIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation Current Accepting new patients
Medical Services, Inc CurrentSince May 14, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Aug 31, 2015 Accepting new patients
Mercy Health System Corporation CurrentSince Aug 31, 2015 Accepting new patients
Medical Services, Inc CurrentSince May 14, 2023 Accepting new patients
Medical Services, Inc Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

11040 N State Road 77
Hayward, WI 54843
Phone (715) 934-4244

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

510 N Terrace St
Janesville, WI 53548
Phone (608) 756-6869

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1316151897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N TERRACE ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482906",
            "telephone_number": "608-756-7277",
            "fax_number": "608-373-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N TERRACE ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482906",
            "telephone_number": "608-756-7277",
            "fax_number": "608-373-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2014-01169",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "64031-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.