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JACOB RYAN LYNN P.A. NPI 1659422384


NPI Information

NPI: 1659422384
Provider Name: JACOB RYAN LYNN, P.A.
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES

PECOS Registration: Yes

Address:
314 MARTIN LUTHER KING JR WAY
TACOMA, WA
ZIP 98405
Phone: (253) 403-7257
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Jacob Ryan Lynn, P.A. is a surgical physician assistant in Tacoma, WA with 17 years of experience. Jacob Ryan Lynn, P.A. NPI is 1659422384. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

314 MARTIN LUTHER KING JR WAY
TACOMA, WA
ZIP 98405-250
Phone: (253) 403-7257
Fax: (253) 403-1340

The NPI 1659422384 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Heart artery bypass to repair one artery (HCPCS:33533)
  • Harvest of veins for coronary artery bypass procedure using an endoscope (HCPCS:33508)
  • Combined multiple vein and artery heart artery bypasses (HCPCS:33518)

The enumeration date for this NPI number is 1/16/2007 and was last updated on 3/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalNo
2363A00000XPhysician AssistantNo
3363AS0400XPhysician AssistantSurgicalTPA0012MISSISSIPPINo
4363AS0400XPhysician AssistantSurgicalPA.200096LOUISIANANo
5363AS0400XPhysician AssistantSurgicalPA60030903WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.