Lynn Pittman DO Internal Medicine Enterprise LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

02002857A Issued in IN

Legal business name

LYNN PITTMAN DO INTERNAL MEDICINE ENTERPRISE LLC

Practice address

3363 N Pennsylvania St
Indianapolis, IN 46205-3415

Phone

(317) 924-4545

NPI assigned

Jun 29, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Lynn Pittman, DONPI 1609840040

Title

Physician

Phone

(812) 241-4749

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn A Pittman, DO

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1609840040
  Medicare reassignment Authorized official
• Shawnta Crayton, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1023651072
  NPD

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1699296764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 N WINDMILL CT",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478058627",
            "telephone_number": "812-241-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 N PENNSYLVANIA ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462053415",
            "telephone_number": "317-924-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4445 S 10th St",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478024315",
            "country_code": "US",
            "telephone_number": "812-917-4629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LYNN PITTMAN DO INTERNAL MEDICINE ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "812-241-4749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "02002857A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200521340",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Pat Lynch, R.D.
• Thomas Michael Lynch, M.D.
• Tori Lynch
• Lynda L. Blackwelder, LLC
• Lynhurst Health Care
• Ashley Jean Lynn, PHARMD
• Ashlyn Hope Ferguson Lynn, O.D.
• William J Lynn, MD
• Lynx Indiana LLC
• Adrianne Lyon

• Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.