Individual provider Active NPI

Emily A Lynch, PA-C

  • Physician Assistant
  • Coudersport, PA
National Provider Identifier
1649371576
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA052582 Issued in PA
Practice address
1001 E 2ND St
U.S. Route 6 East
Coudersport, PA 16915-8161
Phone
(814) 274-9300
NPI assigned
Sep 25, 2006
Last updated
Dec 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA052582 PA Primary

Addresses

Primary practice location

1001 E 2ND St
U.S. Route 6 East
Coudersport, PA 16915-8161

Mailing address

312 Hillside Ave
Port Allegany, PA 16743-1412
Phone (814) 335-2240

Other identifiers 1

IdentifierTypeStateIssuer
109360JT3OtherPAMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051115000826 NY Practitioner - Physician Assistant 0244259729
I20070319000332 PA Practitioner - Physician Assistant 0244259729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.69 of 100Reported as group
Quality
75.14
Promoting interoperability
100
Improvement activities
40
Cost
70.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA052582PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Cole Memorial Hospital D/B/a Upmc Cole CurrentSince Oct 1, 2006 Accepting new patients
Charles Cole Memorial D/B/a Upmc Cole CurrentSince Oct 1, 2006 Accepting new patients
Exigence Hospitalist Medical Services of Olean, PLLC Past Accepting new patients
Dinesh Lahoti Physician PC PastSince Mar 15, 2006 Accepting new patients

Locations

1001 E 2nd St
Coudersport, PA 16915
Phone (814) 274-7407

438 E 2nd St
Coudersport, PA 16915
Phone (814) 274-5252

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/11c9f394-ec26-4c20-ab5b-88e040706ab4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1649371576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 HILLSIDE AVE",
            "city": "PORT ALLEGANY",
            "state": "PA",
            "postal_code": "167431412",
            "telephone_number": "814-335-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 2ND ST",
            "address_2": "U.S. ROUTE 6 EAST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169158161",
            "telephone_number": "814-274-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "EMILY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "109360JT3",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coudersport, PA

Sources for this page

Verify at the official NPI Registry.