MR. JIM S LYNCH JR. (NPI# 1083822431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083822431 |
| Entity Type | Individual |
| Full Name | MR. JIM S LYNCH JR. |
| Credential | RCIS,RCVT |
| Practice Address |
168 Wooded Trl Longview TX 75605-7189 |
| Practice Telephone | 9033992505 |
| Mailing Telephone | 9033992505 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246XC2901X |
Spec/Tech, Cardiovascular Specialization: Cardiovascular Invasive Specialist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
168 WOODED TRL |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-7189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 246XC2901X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Cardiovascular Invasive Specialist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366732976 | Joachim Fiihr | Spec/Tech, Cardiovascular | 9736 Colonywood Dr, Mckinney, TX 75070-4958 | 2011-04-15 |
| 1346477692 | Levonda Antoinette Johnson | Spec/Tech, Cardiovascular | 6830 Hominy Rdg, Rowlett, TX 75089-7428 | 2009-06-14 |
| 1295860377 | Gabriel Angel Ramirez | Spec/Tech, Cardiovascular | 9106 Tezel Lndg, San Antonio, TX 78250-4122 | 2007-02-22 |
| 1063498962 | Philip Andrew White IIi | Spec/Tech, Cardiovascular | 3507 Plazas Del Lago Dr, Edinburg, TX 78539-7700 | 2005-12-21 |
| 1528510120 | Lloyd Gerard Bilbo | Spec/Tech, Cardiovascular | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2016-10-30 |
| 1831559566 | James Schacherl | Spec/Tech, Cardiovascular | 101 Summit Ave Ste 510, Fort Worth, TX 76102-2613 | 2016-02-23 |
| 1306235353 | Victoria Hollingsworth | Spec/Tech, Cardiovascular | 9441 Lbj Fwy, 602, Dallas, TX 75243-4545 | 2015-01-14 |
| 1366587289 | Medical Center Cath Lab, LLP | Spec/Tech, Cardiovascular | 6550 Fannin, Suite 333, Houston, TX 77030-2718 | 2007-02-20 |
| 1467534529 | Medical Center Cath Lab, LLP | Spec/Tech, Cardiovascular | 6550 Fannin, Suite 333, Houston, TX 77030-2718 | 2006-10-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.