Thomas P Lyngholm, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

29153 Issued in WI

Practice address

1060 Gaffney Rd # 7440
USA Meddac-Ak, McUc-MMD-Credentials
Ft Wainwright, AK 99703

Phone

(907) 353-5418

Fax

(907) 353-4847

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1902932213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD # 7440",
            "address_2": "USA MEDDAC-AK, MCUC-MMD-CREDENTIALS",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035001",
            "telephone_number": "907-353-5418",
            "fax_number": "907-353-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD # 7440",
            "address_2": "USA MEDDAC-AK, MCUC-MMD-CREDENTIALS",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "99703",
            "telephone_number": "907-353-5418",
            "fax_number": "907-353-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNGHOLM",
        "first_name": "THOMAS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "WI",
            "license": "29153",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "29153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle W Lindholm
• Allan Louis Long, CRNA
• Mary Elizabeth Long, D.C.
• Emily Jean Lugdon, FNP-C APRN
• Keith A Lund
• Richard B Madden, O.D.
• John Merrill Manning, PH.D.
• Troy Marburger, DDS
• Claudia Sanchez Martin, LCSW
• Kristi Ann Masterson, RNC

• Emergency Medical Services (Emergency Medicine) Physician in Ft Wainwright, AK
• Providers in Ft Wainwright, AK by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.