Matthew Lawrence Lynch, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036114509 Issued in IL

Practice address

26900 N Lake Pleasant Pkwy
Peoria, AZ 85383-1558

Phone

(623) 524-8960

Fax

(623) 524-8959

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI, AZ2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: referral@vaaonsl-az.direct.office.nextgen.com

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.

• Divine Savior Healthcare, Inc.

  • General Acute Care Hospital
  • Portage, WI
  • NPI 1124083894
  Medicare reassignment NPD
• Evergreen Surgical, S.C.

  • Surgery Physician
  • Eau Claire, WI
  • NPI 1740238872
  Medicare reassignment NPD
• Divine Savior Healthcare, Inc.

  • Rural Health Clinic/Center
  • Portage, WI
  • NPI 1386154417
  NPD

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1659589653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26900 N LAKE PLEASANT PKWY",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831558",
            "telephone_number": "623-524-8960",
            "fax_number": "623-524-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26900 N LAKE PLEASANT PKWY",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831558",
            "telephone_number": "623-524-8960",
            "fax_number": "623-524-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "MATTHEW",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036114509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34940200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc
• Luxottica of America Inc
• Luxottica of America Inc
• Hannah Elizabeth Lyle, PA-C
• Lynch Vein and Aesthetics PLLC
• Ronald James Lynch, MC, LPC, LISAC, CSAT
• M & M Medical P.C.
• M & M Residential Home LLC
• Veronica M High, PH.D.
• Cam Linh Ma

• Surgery Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.