Linda Carradine Lynch, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

93-84 Issued in 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

Last updated

Aug 21, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

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 PCGroup PAC ID 5799805040, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: linda.lynch.1@2956.direct.athenahealth.com

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.

• Timothy D Peterson, MD PC

  dba Mogul Medical Urgent Care

  • Urgent Care Clinic/Center
  • Taos Ski Valley, NM
  • NPI 1073818555
  Medicare reassignment Care Compare group Authorized official
• Taos Health Systems Inc Holy Cross Hospital

  dba Holy Cross Hospital

  • General Acute Care Hospital
  • Taos, NM
  • NPI 1194751958

  Emergency Medicine

  Medicare reassignment NPD
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  Medicare reassignment NPD

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1902863301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX DD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875712199",
            "telephone_number": "505-758-8883",
            "fax_number": "505-751-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 WEIMER RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875712199",
            "telephone_number": "505-758-8883",
            "fax_number": "505-751-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "LINDA",
        "middle_name": "CARRADINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2007-08-21",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "93-84",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Lujan
• Shannon Albina Lujan, RN BSN
• Luna Vista Behavioral Health Services
• Penny S Lusk
• Arthur William Lynch III, M.D.
• Chrystal Lyon
• Joan Maccracken, LCSW
• John Alan Macfarlane, M.D.
• Stephen Christpher Mack, LSAA
• Charles Macneill, BMS

• Emergency Medicine Physician in Taos, NM
• Providers in Taos, NM by specialty
• Emergency Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.