Active NPI
Timothy R. Lynch, MD
- Internal Medicine Physician
- Norwell, MA
National Provider Identifier
1891720892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 71279
- Practice address
- 143 Longwater Drive
Norwell, MA 02061-9147 - Phone
- (781) 878-5200
- Fax
- (781) 878-6750
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 71279 | MA | Primary |
Addresses
Primary practice location
143 Longwater Drive
Norwell, MA 02061-9147
Mailing address
141 Longwater Drive
Norwell, MA 02061-9147
Phone (781) 878-5200
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95986103 | Other | NETWORK HEATLH | |
| J10645 | Other | MA | BCBS |
| 071279 | Other | TUFTS AND TMP | |
| 042297845 | Other | UNICARE | |
| 4265474 | Other | MA | AETNA |
| 042297845 | Other | UNITED HEALTH CARE | |
| 189170892 | Medicaid | MA | |
| 3077764 | Medicaid | MA | |
| 042297845 | Other | TRICARE | |
| 042297845 | Other | HCVM/FIRST HEALTH | |
| 4391781 | Other | CIGNA | |
| AA283358 | Other | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Medical Center, Inc. | Internal Medicine | Current | Accepting new patients |
| Coastal Medical Associates | Current | Accepting new patients | |
| South Shore Medical Center, Inc | Past | Accepting new patients | |
| Signature Healthcare Medical Group Inc | Internal Medicine | Past | Accepting new patients |
Locations
5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200
143 Longwater Dr
Norwell, MA 02061
Phone (781) 792-4136
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
-
- Internal Medicine Physician
- Norwell, MA
- NPI 1669411856
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
-
- Orthopaedic Surgery Physician
- Norwell, MA
- NPI 1275655409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389139200000",
"number": "1891720892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 LONGWATER DRIVE",
"city": "NORWELL",
"state": "MA",
"postal_code": "020619147",
"telephone_number": "781-878-5200",
"fax_number": "781-878-6750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 LONGWATER DRIVE",
"city": "NORWELL",
"state": "MA",
"postal_code": "020619147",
"telephone_number": "781-878-5200",
"fax_number": "781-878-6750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "TIMOTHY",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2014-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "71279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEATLH",
"identifier": "95986103",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J10645",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS AND TMP",
"identifier": "071279",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "042297845",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4265474",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "042297845",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189170892",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3077764",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "042297845",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCVM/FIRST HEALTH",
"identifier": "042297845",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4391781",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA283358",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.