Lynn Louise Mathia, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

011684 Issued in MI

Practice address

37399 Garfield Rd
Suite 204
Clinton TWP, MI 48036-3672

Phone

(586) 421-4204

Fax

(586) 421-4222

NPI assigned

Jul 13, 2005

Last updated

Dec 9, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lynn Louise Oztalay Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Vascular SurgeryAlso: General Surgery

Education

Michigan State University College of Osteopathic Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Health Rochester HospitalGroup PAC ID 8820994098, 104 clinicians

Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
• Direct secure messaging: lmathia1140514@direct.hfhs.org

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.

• Henry Ford Health Rochester Hospital

  • Neurology Physician
  • Rochester, MI
  • NPI 1366565442
  Medicare reassignment Care Compare group NPD
• Michigan Healthcare Professionals PC

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1295023547
  Medicare reassignment NPD
• Macomb General and Vascular Surgery, P.L.C.

  • Surgery Physician
  • Clinton Township, MI
  • NPI 1689832917
  Authorized official Same address or phone
• Henry Ford Health Rochester Hospital

  • Family Medicine Physician
  • Rochester, MI
  • NPI 1184747263
  NPD
• Henry Ford Health Rochester Hospital

  dba Henry Ford Rochester Hospital

  • General Practice Physician
  • Rochester, MI
  • NPI 1457704850

  Surgery

  NPD
• Michigan Healthcare Professionals PC

  dba Urology Specialist of Michigan

  • Durable Medical Equipment & Medical Supplies
  • Lapeer, MI
  • NPI 1992693303
  NPD
• Henry Ford Health Rochester Hospital

  • Pulmonary Disease Physician
  • Rochester, MI
  • NPI 1275656357
  NPD (past)
• Macomb Surgical Associates,P.C.

  • Surgery Physician
  • Clinton TWP, MI
  • NPI 1295816932
  NPD (past)

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

• Henry Ford Health Rochester Hospital

  • General Acute Care Hospital
  • Rochester, MI
  • NPI 1437176203
  Care Compare affiliation

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1689672529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37399 GARFIELD RD",
            "address_2": "SUITE 204",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363672",
            "telephone_number": "586-421-4204",
            "fax_number": "586-421-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37399 GARFIELD RD",
            "address_2": "SUITE 204",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363672",
            "telephone_number": "586-421-4204",
            "fax_number": "586-421-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIA",
        "first_name": "LYNN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "011684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "OZTALAY",
            "middle_name": "LOUISE",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Alexander N Masters, DDS
• Sophia Papasifakis Masters, DDS
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• April Lynn Mauro I
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• Ellen Mayfield-Fleming, MALLP
• Stacey Lynn McBee

• Surgery Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.