Individual provider Active NPI

Lynne Pirie, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1780732412
Registry record updated Jun 5, 2013
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective May 20, 2013.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
1878 Issued in AZ
Practice address
711 E Carefree Hwy Ste 208
North Phoenix Health Institute
Phoenix, AZ 85085-0109
Phone
(623) 879-7580
Fax
(623) 879-7510
NPI assigned
Jan 8, 2007
Last updated
Jun 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 1878 AZ Primary

Addresses

Primary practice location

711 E Carefree Hwy Ste 208
North Phoenix Health Institute
Phoenix, AZ 85085-0109

Mailing address

711 E Carefree Hwy Ste 208
North Phoenix Health Institute
Phoenix, AZ 85085-0109
Phone (623) 879-7580

Other identifiers 1

IdentifierTypeStateIssuer
253899MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1878AZMDClinical Psychologist

Organizations & group practices 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1780732412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E CAREFREE HWY STE 208",
            "address_2": "NORTH PHOENIX HEALTH INSTITUTE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850109",
            "telephone_number": "623-879-7580",
            "fax_number": "623-879-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E CAREFREE HWY STE 208",
            "address_2": "NORTH PHOENIX HEALTH INSTITUTE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850109",
            "telephone_number": "623-879-7580",
            "fax_number": "623-879-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRIE",
        "first_name": "LYNNE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "1878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253899",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.