Individual provider Active NPI

Michele Lynch, M.D. MPH

  • General Practice Physician
  • Carroll, OH
National Provider Identifier
1356695522
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13586 Issued in MS
Practice address
1647 Pickerington Rd
Carroll, OH 43112-9791
Phone
(740) 438-3155
NPI assigned
Nov 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 13586 MS Primary

Addresses

Primary practice location

1647 Pickerington Rd
Carroll, OH 43112-9791

Mailing address

1647 Pickerington Rd
Carroll, OH 43112-9791
Phone (740) 438-3155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231122000611 KY Practitioner - General Practice 3577706027 Reassigns benefits to 1 organization
I20231129000515 OH Practitioner - General Practice 3577706027 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13586MSMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC General Practice CurrentSince Oct 9, 2023 Accepting new patients

Locations

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 1

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": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1356695522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 PICKERINGTON RD",
            "city": "CARROLL",
            "state": "OH",
            "postal_code": "431129791",
            "telephone_number": "740-438-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 PICKERINGTON RD",
            "city": "CARROLL",
            "state": "OH",
            "postal_code": "431129791",
            "telephone_number": "740-438-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "M.D. MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "13586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carroll, OH

Sources for this page

Verify at the official NPI Registry.