Organization Active NPI

Lynch Vein and Aesthetics PLLC

  • Surgery Physician
  • Peoria, AZ
National Provider Identifier
1922616143
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LYNCH VEIN AND AESTHETICS PLLC
Practice address
26900 N Lake Pleasant Pkwy
Peoria, AZ 85383-1558
Phone
(623) 524-8960
NPI assigned
Jul 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Authorized official

Name
Matthew Lynch, MD
Title
Founder/Medical Director
Phone
(608) 745-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

26900 N Lake Pleasant Pkwy
Peoria, AZ 85383-1558

Mailing address

26900 N Lake Pleasant Pkwy
Peoria, AZ 85383-1558

National Provider Directory

National Provider Directory

Locations

26900 N Lake Pleasant Pkwy
Ste 209
Peoria, AZ 85383
Phone (480) 800-8346

26900 N Lake Pleasant Pkwy
Ste 1
Peoria, AZ 85383

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1922616143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26900 N LAKE PLEASANT PKWY",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26900 N LAKE PLEASANT PKWY",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831558",
            "telephone_number": "623-524-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNCH VEIN AND AESTHETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "FOUNDER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "608-745-2555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.