Lynn Marie Squanda, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101013512 Issued in MI

Practice address

1140 N State St
Saint Ignace, MI 49781-1048

Phone

(906) 643-8689

Fax

(906) 643-4165

NPI assigned

Jul 12, 2006

Last updated

Dec 31, 2024By 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

Other names 1

• Lynn Marie Squanda Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Family Practice

Education

Michigan State University College of Osteopathic Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sault Tribe of Chippewa IndiansGroup PAC ID 7012982937, shared by 6 NPIs, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mackinac Straits Hospital and Health Center Hospital, Saint Ignace, MI, CCN 231306

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_lsquanda@landmarkhealth-direct.org

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.

• Sault Tribe of Chippewa Indians

  • Federally Qualified Health Center (FQHC)
  • Sault Sainte Marie, MI
  • NPI 1477721058

  Family Medicine

  Medicare reassignment NPD
• Sault Tribe of Chippewa Indians

  • Family Nurse Practitioner
  • Sault Sainte Marie, MI
  • NPI 1205004884
  NPD
• Sault Tribe of Chippewa Indians

  dba Healing Place

  • Federally Qualified Health Center (FQHC)
  • Sault Sainte Marie, MI
  • NPI 1477389740
  NPD
• Sault Tribe of Chippewa Indians

  • Clinical Medical Laboratory
  • Sault Sainte Marie, MI
  • NPI 1750434395
  NPD
• Sault Tribe of Chippewa Indians

  • Optometrist
  • Sault Sainte Marie, MI
  • NPI 1902074586
  NPD
• F&S Radiology, P.C.

  • Diagnostic Radiology Physician
  • Sebring, FL
  • NPI 1518299957
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mackinac Straits Health System Inc

  dba Mackinac Straits Hospital and Health Center

  • Critical Access Hospital
  • Saint Ignace, MI
  • NPI 1124283502
  Care Compare affiliation
• Mackinac Straits Health System Inc

  dba Rivertown Medical Clinic

  • Rural Health Clinic/Center
  • Cheboygan, MI
  • NPI 1659868206

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1962437400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 S COURT AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351215",
            "telephone_number": "989-350-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N STATE ST",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "497811048",
            "telephone_number": "906-643-8689",
            "fax_number": "906-643-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUANDA",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "SQUANDA",
            "middle_name": "MARIE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward F Smith, M.D.
• Joan Marie Smith, OTRL
• Stephanie June Soblaskey, LMSW CSW
• Carol Jean Sodman-Morris, RNC WHNP
• Christey Eileen Solomon
• Audrey Elita Stenson, C.M.T
• Megan Lee Stenson
• John Stephenson, M.C.
• Charlene Stier, LMSW
• Straits Area Pharamcy Inc (Straits Area Pharmacy)

• Family Medicine Physician in Saint Ignace, MI
• Providers in Saint Ignace, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.