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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 - 363A00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3601 W 13 MILE RD
ROYAL OAK, MI
ZIP 48073
Phone: (248) 898-0123
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Jacob Ryan Lynn, P.A. is a physician assistant in Royal Oak, MI with 17 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. 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:

3601 W 13 MILE RD
ROYAL OAK, MI
ZIP 48073-712
Phone: (248) 898-0123
Fax: (248) 898-1473

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 enumeration date for this NPI number is 1/16/2007 and was last updated on 7/28/2022.


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
2363AS0400XPhysician AssistantSurgicalTPA0012MISSISSIPPINo
3363AS0400XPhysician AssistantSurgicalPA60030903WASHINGTONNo
4363AS0400XPhysician AssistantSurgicalPA.200096LOUISIANANo
5363A00000XPhysician Assistant5601010017MICHIGANYes

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: 4/28/2024

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.