Active NPI
Christopher K Lynn, M.D.
- Internal Medicine Physician
- Toledo, OH
National Provider Identifier
1386630754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35051864
- Practice address
- 3355 Glendale Ave
Medicine
Toledo, OH 43614-2426 - Phone
- (419) 383-5614
- Fax
- (419) 383-5618
- NPI assigned
- Sep 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35051864 | OH | Primary |
Addresses
Primary practice location
3355 Glendale Ave
Medicine
Toledo, OH 43614-2426
Mailing address
3355 Glendale Ave
Third Floor
Toledo, OH 43614-2426
Phone (419) 383-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0620966 | Medicaid | OH |
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 |
|---|---|---|---|
| 35051864 | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1386630754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 GLENDALE AVE",
"address_2": "THIRD FLOOR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142426",
"telephone_number": "419-383-7100",
"fax_number": "419-383-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 GLENDALE AVE",
"address_2": "MEDICINE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142426",
"telephone_number": "419-383-5614",
"fax_number": "419-383-5618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNN",
"first_name": "CHRISTOPHER",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35051864",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0620966",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.