Organization Active NPI

Lynn G Valena M D

  • Geriatric Medicine (Internal Medicine) Physician
  • Muncie, IN
National Provider Identifier
1811088008
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
LYNN G VALENA M D
Practice address
3820 W Jackson St
Muncie, IN 47304-3605
Phone
(765) 288-2707
Fax
(765) 289-7196
NPI assigned
Sep 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lynn G Valena, MDNPI 1528043262
Title
Owner
Phone
(765) 288-2707

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
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

3820 W Jackson St
Muncie, IN 47304-3605

Mailing address

3820 W Jackson St
Muncie, IN 47304-3605
Phone (765) 288-2707

National Provider Directory

National Provider Directory

Locations

3820 W Jackson St
Muncie, IN 47304
Phone (765) 288-2707

Practitioners & affiliated clinicians

Practitioners 1

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811088008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 W JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043605",
            "telephone_number": "765-288-2707",
            "fax_number": "765-289-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 W JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043605",
            "telephone_number": "765-288-2707",
            "fax_number": "765-289-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN G VALENA M D",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALENA",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-288-2707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.