Active NPI
Robert Kevin Lynch
- Surgery Physician
- Odessa, TX
National Provider Identifier
1417953589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- K3317
- Practice address
- 408 N Hancock Ave
Odessa, TX 79761-5140 - Phone
- (432) 580-7373
- Fax
- (432) 580-3275
- NPI assigned
- Jun 23, 2005
- Last updated
- Jan 24, 2011
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | K3317 | TX | Primary |
Addresses
Primary practice location
408 N Hancock Ave
Odessa, TX 79761-5140
Mailing address
408 N Hancock Ave
Odessa, TX 79761-5140
Phone (432) 580-7373
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079617901 | Medicaid | TX | |
| 118257100 | Other | TX | FIRSTCARE PROVIDER # |
Other names 1
- Robert Lynch
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- robert.lynch.1@1603.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Odessa General Surgery
- Surgery Physician
- Odessa, TX
- NPI 1023136116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1417953589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 N HANCOCK AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615140",
"telephone_number": "432-580-7373",
"fax_number": "432-580-3275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 N HANCOCK AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615140",
"telephone_number": "432-580-7373",
"fax_number": "432-580-3275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "ROBERT",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "K3317",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079617901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE PROVIDER #",
"identifier": "118257100",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "LYNCH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Odessa, TX
- Veronica Lujan, FNP-C
- Preston Luke, FNP
- Edgar Manuel Luna Landa Jr., M.D
- Luxottica Retail North America Inc (Sears Optical #C0187)
- Philip Lynch, CRNA
- Kevin Onsomu Maangi, RN
- Shelbe Denyse Maass, LPC-ASSOCIATE
- Macaulay E Nwojo MD PLLC (Midessa Neurosurgery and Complex Spine)
- Amanda Flores Macha, OT
- Lee M Macmurdo III, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.