Individual provider Active NPI

John T Lynn, III, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Colorado Springs, CO
National Provider Identifier
1962771196
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
24958 Issued in CO
Practice address
5450 Tech Center Dr
120
Colorado Springs, CO 80919-2339
Phone
(719) 265-1100
NPI assigned
Dec 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 24958 CO Primary

Addresses

Primary practice location

5450 Tech Center Dr
120
Colorado Springs, CO 80919-2339

Mailing address

5450 Tech Center Dr
120
Colorado Springs, CO 80919-2339
Phone (719) 265-1100

Other identifiers 2

IdentifierTypeStateIssuer
31034870MedicaidCO
31034870OtherCONPI# FOR EVERCARE HOSPICE AND PALLIATIVE CARE 1609911827

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

LicenseStateTypeSpecialty
24958COMDHospice and Palliative Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1962771196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 TECH CENTER DR",
            "address_2": "120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192339",
            "telephone_number": "719-265-1100",
            "fax_number": "719-265-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 TECH CENTER DR",
            "address_2": "120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192339",
            "telephone_number": "719-265-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "III, M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-16",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CO",
            "license": "24958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31034870",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI# FOR EVERCARE HOSPICE AND PALLIATIVE CARE 1609911827",
            "identifier": "31034870",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.