Individual provider Active NPI

Whitney Danjack Lynch, D.O.

  • Addiction Medicine (Internal Medicine) Physician
  • Slidell, LA
National Provider Identifier
1588047443
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
341364 Issued in LA
Practice address
1051 Gause Blvd
Slidell, LA 70458-2951
Phone
(985) 898-7420
Fax
(985) 661-3587
NPI assigned
Jul 9, 2015
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X E-13653 AR
Addiction Medicine (Internal Medicine) Physician 207RA0401X 341364 LA Primary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 26556 MS

Addresses

Primary practice location

1051 Gause Blvd
Slidell, LA 70458-2951

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other practice location 1

3500 S 70th St
Fort Smith, AR 72903-5197
Phone (479) 364-5757

Other names 1

  • Dr. W. Dan Lynch Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, LA2 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
I20201130002055 AR Practitioner - Emergency MedicinePractitioner - Osteopathic Manipulative Medicine 6002103173 Reassigns benefits to 3 organizations
I20240611003971 LA Practitioner - Addiction Medicine 6002103173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
William Carey University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1051 Gause Blvd
Slidell, LA 70458-2951
Phone (985) 641-7577

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26556MSMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HCC of Magnolia LLC Single Specialty CurrentSince Dec 27, 2023 Accepting new patients
Complete Musculoskeletal Medicine, PLLC Single Specialty Current Accepting new patients
Ochsner Clinic LLC CurrentSince May 16, 2024 Accepting new patients
Ochsner Clinic LLC Single Specialty Current Accepting new patients
Correct Care, Inc. Single Specialty CurrentSince Apr 1, 2023 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc Single Specialty CurrentSince Dec 3, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince May 16, 2024 Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

2729 S Highway 65 82
Lake Village, AR 71653
Phone (870) 265-5351

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1051 Gause Blvd
Slidell, LA 70458
Phone (985) 641-7577

1051 Gause Blvd
Ste 480
Slidell, LA 70458
Phone (985) 898-7420

Interoperability endpoints

  • Direct secure messaging: wlynch2270350@direct.ochsner.org
  • Direct secure messaging: whitney.lynch.1@14285.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1588047443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582951",
            "telephone_number": "985-898-7420",
            "fax_number": "985-661-3587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 S 70th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729035197",
            "country_code": "US",
            "telephone_number": "479-364-5757",
            "fax_number": "501-313-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "WHITNEY",
        "middle_name": "DANJACK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "AR",
            "license": "E-13653",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "LA",
            "license": "341364",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MS",
            "license": "26556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W.",
            "last_name": "LYNCH",
            "middle_name": "DAN",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.