Individual provider Active NPI

Heather Rene Lynch, MD

  • Family Medicine Physician
  • Bethany, OK
National Provider Identifier
1417949744
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20559 Issued in OK
Practice address
2701 N Rockwell Ave
Bethany, OK 73008-5246
Phone
(405) 789-4150
Fax
(405) 491-0743
NPI assigned
Aug 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20559 OK Primary

Addresses

Primary practice location

2701 N Rockwell Ave
Bethany, OK 73008-5246

Mailing address

2701 N Rockwell Ave
Bethany, OK 73008-5246
Phone (405) 789-4150

Other identifiers 1

IdentifierTypeStateIssuer
100096920AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 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
I20100820000297 OK Practitioner - Family Practice 0244364602 Reassigns benefits to 2 organizations
Practice locations: Purcell, OK
I20230829002074 TX Practitioner - Family Practice 0244364602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advance Physicians GroupGroup PAC ID 0244122083, 23 clinicians

Practice addresses (Care Compare)

2100 W Lindsey St
Suite B
Norman, OK 73069-4108
Phone (405) 759-4300

4010 N Kickapoo Ave
Suite 3
Shawnee, OK 74804-1614
Phone (405) 759-4300

4510 NW 39TH St
Oklahoma City, OK 73122-2503
Phone (405) 495-5841

7807 S Walker Ave
Oklahoma City, OK 73139-9470
Phone (405) 636-0767

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities Family Medicine CurrentSince Sep 24, 2018 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Aug 8, 2023 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Aug 8, 2023 Accepting new patients
Advance Physicians Group CurrentSince Jul 1, 2020 Accepting new patients

Locations

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

2701 N Rockwell Ave
Bethany, OK 73008
Phone (405) 782-4150

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

2100 W Lindsey St
#B
Norman, OK 73069
Phone (405) 310-7055

4510 NW 39th St
Oklahoma City, OK 73122
Phone (405) 495-5841

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

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.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1417949744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N ROCKWELL AVE",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730085246",
            "telephone_number": "405-789-4150",
            "fax_number": "405-491-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N ROCKWELL AVE",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730085246",
            "telephone_number": "405-789-4150",
            "fax_number": "405-491-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "HEATHER",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "20559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100096920A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, OK

Sources for this page

Verify at the official NPI Registry.