Individual provider Active NPI

Siobhan P Lynch, M.D.

  • Medical Oncology Physician
  • Missoula, MT
National Provider Identifier
1457543340
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MED-PHYS-LIC-52620 Issued in MT
Practice address
2837 Fort Missoula Rd
Missoula, MT 59804-7408
Phone
(406) 327-3911
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X MED-PHYS-LIC-52620 MT Primary

Addresses

Primary practice location

2837 Fort Missoula Rd
Missoula, MT 59804-7408

Mailing address

2837 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 327-3911

Other practice location 1

500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 728-2539

Other identifiers 3

IdentifierTypeStateIssuer
1946956-05MedicaidTX
8DH945OtherBCBS
1946956-06MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170628002298 MT Practitioner - Hematology/Oncology 5991879652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Texas Medical School at San Antonio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RCHP Billings - Missoula LLCGroup PAC ID 8426370842, 69 clinicians
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians

Practice addresses (Care Compare)

2230 N Reserve St
Suite 402
Missoula, MT 59808-1364
Phone (406) 721-0533

2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 327-4058

2833 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 541-7246

2837 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 327-3943

500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 329-5635

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-52620MTMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Mt CurrentSince Aug 1, 2017 Accepting new patients
RCHP Billings - Missoula LLC Medical Oncology CurrentSince Aug 20, 2017 Accepting new patients
RCHP Billings - Missoula LLC Current Accepting new patients
Providence Health & Services Mt Current Accepting new patients
Providence Health & Services Mt CurrentSince Aug 1, 2017 Accepting new patients
RCHP Billings - Missoula LLC Current Accepting new patients

Locations

2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

2837 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-3911

Interoperability endpoints

  • Direct secure messaging: slynch@direct.communitymed.org

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1457543340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 FORT MISSOULA RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047408",
            "telephone_number": "406-327-3911",
            "fax_number": "406-549-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 FORT MISSOULA RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047408",
            "telephone_number": "406-327-3911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Broadway St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598024008",
            "country_code": "US",
            "telephone_number": "406-728-2539",
            "fax_number": "406-329-5663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "SIOBHAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MT",
            "license": "MED-PHYS-LIC-52620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1946956-05",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DH945",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1946956-06",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.