Active NPI
Beverly J Lynch, MD
- Anatomic Pathology & Clinical Pathology Physician
- Orem, UT
National Provider Identifier
1962441410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 326821-1205
- Practice address
- 750 W 800 N
Orem, UT 84057-3660 - Phone
- (801) 263-0810
- Fax
- (801) 270-8170
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 326821-1205 | UT | Primary |
Addresses
Primary practice location
750 W 800 N
Orem, UT 84057-3660
Mailing address
PO Box 276
Midvale, UT 84047-0276
Phone (801) 263-0810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 326821-1205 | UT | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1962441410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 276",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840470276",
"telephone_number": "801-263-0810",
"fax_number": "801-270-8170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 W 800 N",
"city": "OREM",
"state": "UT",
"postal_code": "840573660",
"telephone_number": "801-263-0810",
"fax_number": "801-270-8170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "BEVERLY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "UT",
"license": "326821-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.