Linda Carradine Lynch, MD
Individual provider Active NPI Emergency Medicine Physician · Taos, NM
NPI 1902863301 · NPPES record last updated Aug 21, 2007
Key facts
- NPI
- 1902863301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 93-84 (NM)
- Practice address
- 1397 Weimer Rd
Taos, NM 87571-2199 - Phone
- (505) 758-8883
- Fax
- (505) 751-5705
- NPI assigned
- Apr 28, 2006
- Reactivated
- Aug 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Vermont College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Timothy D Peterson, MD PC
Practice addresses (Care Compare)
PO Box
Suite 67
Taos Ski Valley, NM 87525-0067
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040312000734 | NM | Practitioner - Emergency Medicine | 7517856016 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taos Health Systems, Inc., Holy Cross Hospital | Current |
Accepting new patients | |
| Taos Health Systems Inc Holy Cross Hospital | Emergency Medicine | Current |
Accepting new patients |
Locations
330 Paseo del Pueblo Sur
Ste C
Taos, NM 87571
Phone (575) 758-1414
1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Interoperability endpoints
- linda.lynch.1@2956.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 93-84 | NM | Yes |
Addresses
Primary practice location
1397 Weimer Rd
Taos, NM 87571-2199
Mailing address
PO Box DD
Taos, NM 87571-2199
Phone (505) 758-8883
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19748 | Medicaid | NM |
Other providers in Taos, NM
- Audrey Lujan
- Shannon Albina Lujan
- Luna Vista Behavioral Health Services
- Penny S Lusk
- Arthur William Lynch III
- Chrystal Lyon
- Joan Maccracken
- John Alan Macfarlane
- Stephen Christpher Mack
- Charles Macneill
All providers in Taos, NM · Emergency Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.