Individual provider Active NPI

Lynn Dean Baggett, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Konawa, OK
National Provider Identifier
1801032297
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
14448 Issued in OK
Practice address
527 W 3Rd St
Konawa, OK 74849-1415
Phone
(580) 925-3286
Fax
(580) 925-9149
NPI assigned
Jan 6, 2009
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 14448 OK Primary

Addresses

Primary practice location

527 W 3Rd St
Konawa, OK 74849-1415

Mailing address

527 W 3Rd St
Konawa, OK 74849-1415
Phone (580) 925-3286

Other practice location 1

3033 N Walnut Ave
Oklahoma City, OK 73105-2832
Phone (405) 232-9804

Other identifiers 1

IdentifierTypeStateIssuer
14448OtherOKOK BOARD OF MEDICAL LICENSURE AND SUPERVISION

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20091208000256 OK Practitioner - Addiction MedicinePractitioner - Family Practice 1355480104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1121 Colony Dr
Ada, OK 74820-2342
Phone (580) 436-5111

527 W 3Rd St
Konawa, OK 74849-1415
Phone 5809253286227

625 N Monte Vista St
Ada, OK 74820-4613
Phone (580) 436-5111

807 N Monte Vista St
Ada, OK 74820-7711
Phone (580) 332-8855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14448OKMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Oklahoma Family Medical Center Inc CurrentSince Oct 23, 2014 Accepting new patients
Central Oklahoma Family Medical Center, Inc. Current Accepting new patients
Central Oklahoma Family Medical Center, Inc CurrentSince Oct 23, 2014 Accepting new patients
State of Oklahoma Past Accepting new patients
Central Oklahoma Family Medical Center, Inc. Past Accepting new patients

Locations

1214 Arlington St
Ada, OK 74820
Phone (580) 436-2283

1221 Arlington St
Ste B
Ada, OK 74820
Phone (580) 332-4700

2901 Arlington St
Ada, OK 74820
Phone (580) 332-8900

300 S Highland St
Ada, OK 74820

301 N Monte Vista St
Ada, OK 74820
Phone (580) 436-2262

304 N Monte Vista St
Ada, OK 74820
Phone (580) 436-1111

625 N Monte Vista St
Ada, OK 74820
Phone (580) 332-3211

807 N Monte Vista St
Ada, OK 74820
Phone (580) 279-6413

905 Colony Dr
Ada, OK 74820
Phone (580) 434-5111

930 N Country Club Rd
Ada, OK 74820

527 W 3rd St
Konawa, OK 74849
Phone (580) 925-3286

2403 W Wrangler Blvd
Ste A
Seminole, OK 74868
Phone (405) 382-4939

302 W Smith
Stratford, OK 74872

Interoperability endpoints

  • Direct secure messaging: lynn.baggett@cof.eclinicaldirectplus.com

Organizations & group practices 5

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": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1801032297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W 3RD ST",
            "city": "KONAWA",
            "state": "OK",
            "postal_code": "748491415",
            "telephone_number": "580-925-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 W 3RD ST",
            "city": "KONAWA",
            "state": "OK",
            "postal_code": "748491415",
            "telephone_number": "580-925-3286",
            "fax_number": "580-925-9149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3033 N Walnut Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731052832",
            "country_code": "US",
            "telephone_number": "405-232-9804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGGETT",
        "first_name": "LYNN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-06",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OK",
            "license": "14448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK BOARD OF MEDICAL LICENSURE AND SUPERVISION",
            "identifier": "14448",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Konawa, OK

Sources for this page

Verify at the official NPI Registry.