Active NPI
Ian Thomas Lynch
- Internal Medicine Physician
- Columbia, MO
National Provider Identifier
1699260562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2018020842
- Practice address
- 4521 Kentsfield LN Apt 205
Columbia, MO 65201-3558 - Phone
- (812) 746-2383
- NPI assigned
- Jun 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2018020842 | MO | Primary |
Addresses
Primary practice location
4521 Kentsfield LN Apt 205
Columbia, MO 65201-3558
Mailing address
4521 Kentsfield LN Apt 205
Columbia, MO 65201-3558
Phone (812) 746-2383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1699260562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4521 KENTSFIELD LN APT 205",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652013558",
"telephone_number": "812-746-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4521 KENTSFIELD LN APT 205",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652013558",
"telephone_number": "812-746-2383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "IAN",
"middle_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-24",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2018020842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.