Active NPI
Robert P Lynch, MD
- Surgery Physician
- Bellevue, WA
National Provider Identifier
1336219476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 263
- Practice address
- 11711 NE 12TH St
Suite 1a
Bellevue, WA 98005-2461 - Phone
- (425) 899-4301
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD0000290406 | WA | |
| Surgery Physician | 208600000X | 263 | WI | Primary |
Addresses
Primary practice location
11711 NE 12TH St
Suite 1a
Bellevue, WA 98005-2461
Mailing address
11711 NE 12TH St
Suite 1a
Bellevue, WA 98005-2461
Phone (425) 899-4301
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8456311 | Medicaid | WA | |
| 177785 | Other | WA | LABOR AND INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000290406 | WA | MD | Specialist |
| 263 | WI | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Robert Lynch, MD | Specialist | Past | Accepting new patients |
Locations
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
Interoperability endpoints
- robert.lynch.1@4690.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Specialist
- Bellevue, WA
- NPI 1528222585
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba Tacoma General/Allenmore ER Dept
- Multi-Specialty Clinic/Center
- Tacoma, WA
- NPI 1952356404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1336219476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11711 NE 12TH ST",
"address_2": "SUITE 1A",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052461",
"telephone_number": "425-899-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11711 NE 12TH ST",
"address_2": "SUITE 1A",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052461",
"telephone_number": "425-899-4301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "ROBERT",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD0000290406",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8456311",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "177785",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.