Active NPI
Ian T Lyn, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- J8651
- Practice address
- 1600 Medical Center St Ste 212
El Paso, TX 79902-5008 - Phone
- (915) 532-3977
- Fax
- (915) 532-5866
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 30645 | MS | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | J8651 | TX | Primary |
Addresses
Primary practice location
1600 Medical Center St Ste 212
El Paso, TX 79902-5008
Mailing address
1600 Medical Center St Ste 212
El Paso, TX 79902-5008
Phone (915) 532-3977
Other practice location 1
707 E Marshall Ave
Longview, TX 75601-5545
Phone (903) 315-5400
Other practice location 2
100 Baptist Memorial Cir Ste 120
Oxford, MS 38655-4476
Phone (662) 636-2452
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177598302 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AR, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Baylor College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Baptist Memorial Cir
Oxford, MS 38655-4476
1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 636-1090
255 Baptist Blvd
Columbus, MS 39705-2006
PO Box
Suite 405827
Atlanta, GA 30384-5827
Hospital & facility affiliations
- Baptist Home Care and Hospice North Mississippi
- Baptist Memorial Hospital North Ms
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 22 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Mother Frances Hospital Jacksonville | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| THN Physicians Association Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Baptist Memorial Hospital North Mississippi, Inc | Past | Accepting new patients |
Locations
7303 Rogers Ave
Ste 302
Fort Smith, AR 72903
Phone (479) 452-1188
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
100 Baptist Memorial Cir
Ste 120
Oxford, MS 38655
Phone (662) 244-2288
965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
707 E Marshall Ave
Longview, TX 75601
Phone (903) 315-4880
Interoperability endpoints
- ianlyn@epswcva.directglo.com
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
MS, Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Critical Access Hospital
- Jacksonville, TX
- NPI 1952306672
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
- NPI 1790258002
-
- Obstetrics & Gynecology Physician
- El Paso, TX
- NPI 1306816061
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
-
- Home Health Agency
- Batesville, MS
- NPI 1275068959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1376529826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 MEDICAL CENTER ST STE 212",
"city": "EL PASO",
"state": "TX",
"postal_code": "799025008",
"telephone_number": "915-532-3977",
"fax_number": "915-532-5866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 MEDICAL CENTER ST STE 212",
"city": "EL PASO",
"state": "TX",
"postal_code": "799025008",
"telephone_number": "915-532-3977",
"fax_number": "915-532-5866"
}
],
"practiceLocations": [
{
"address_1": "707 E Marshall Ave",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756015545",
"country_code": "US",
"telephone_number": "903-315-5400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Baptist Memorial Cir Ste 120",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "MS",
"postal_code": "386554476",
"country_code": "US",
"telephone_number": "662-636-2452",
"fax_number": "662-636-2285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYN",
"first_name": "IAN",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MS",
"license": "30645",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "J8651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177598302",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.