NPIMap

Organization Active NPI

Lynch Surgical Group PC

  • Surgery Physician
  • Terre Haute, IN
National Provider Identifier
1790530202
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LYNCH SURGICAL GROUP PC
Practice address
1818 N 6TH St
Terre Haute, IN 47804-4021
Phone
(812) 232-1123
Fax
(812) 232-1409
NPI assigned
Apr 18, 2024
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Mark LynchNPI 1548264823
Title
Owner
Phone
(812) 232-1123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

1818 N 6TH St
Terre Haute, IN 47804-4021

Mailing address

1818 N 6TH St
Terre Haute, IN 47804-4021
Phone (812) 232-1123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240624000255 IN Part B Supplier - Clinic/Group Practice 1153864863 Receives reassigned benefits from 9 practitioners
Practice locations: Terre Haute, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1790530202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 N 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044021",
            "telephone_number": "812-232-1123",
            "fax_number": "812-232-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044021",
            "telephone_number": "812-232-1123",
            "fax_number": "812-232-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNCH SURGICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-232-1123"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.