Edward Patrick Lynam, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

301995 Issued in LA

Practice address

1508 Cooktown Rd
#8
Ruston, LA 71270-2199

Phone

(775) 354-8271

Fax

(775) 354-8271

NPI assigned

Jun 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• State of Ohio Department of Mental Health

  • Case Management Agency
  • Marietta, OH
  • NPI 1396714473
  NPD (past)
• State of Ohio Office of Budget and Management State Accounting

  • Nursing Facility/Intermediate Care Facility
  • Sandusky, OH
  • NPI 1790732576
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1447295019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 COOKTOWN ROAD",
            "address_2": "#8",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712701749",
            "telephone_number": "775-354-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 COOKTOWN RD",
            "address_2": "#8",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702199",
            "telephone_number": "775-354-8271",
            "fax_number": "775-354-8271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 E Ross St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176021940",
            "country_code": "US",
            "telephone_number": "775-354-8271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNAM",
        "first_name": "EDWARD",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2023-08-17",
        "certification_date": "2023-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD-044679-L",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "301995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509087",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hausgen Lowery, C.R.N.A.
• Melissa Abigail Lozano
• LTP Medical Mobile, Inc.
• Gary Luffey, M.D.
• Brittany Luttrell, ATC
• Wesley O. Lynch III, DDS
• Jadah Simone Lyons
• Tolithia Lyons, MS
• M Kneeland LLC
• Christina Renee Madix, M.A., CCC-SLP

• Psychiatry Physician in Ruston, LA
• Providers in Ruston, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.