DR. LYNN W BLUNT JR. (NPI# 1659372183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659372183 |
| Entity Type | Individual |
| Full Name | DR. LYNN W BLUNT JR. |
| Credential | M.D. |
| Practice Address |
13555 W Mcdowell Rd Suite 304 Goodyear AZ 85395-2624 |
| Practice Telephone | 6239355522 |
| Practice Fax Number | 6239353220 |
| Mailing Telephone | 6239355522 |
| Mailing Fax Number | 6239353220 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2011-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 37110 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-105335-1 | 05 | |
| AZ | HEALTH NET OF ARIZONA | 2Z6422 | 01 |
| AZ | 264289 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225331234 | Lynn Waldo Blunt Sr. | Psychiatry & Neurology | 2954 Philadelphia Dr, Ann Arbor, MI 48103-6813 | 2010-12-13 |
| Street Address |
13555 W MCDOWELL RD SUITE 304 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476917 | Cynthia Lynne Collins | Surgery | 13555 W Mcdowell Rd, Ste 204, Goodyear, AZ 85338-2626 | 2005-06-01 |
| 1770025439 | Arizona Urology LLC | Urology | 13555 W Mcdowell Rd, Suite 302, Goodyear, AZ 85395-2624 | 2016-11-12 |
| 1528413929 | Southwest Valley Surgical Associates, Pllc | Surgery | 13555 W Mcdowell Rd, Suite 204, Goodyear, AZ 85395-2626 | 2016-05-04 |
| 1184020182 | Jacqueline Lindsey Lepetit | Nurse Practitioner | 13555 W Mcdowell Rd, Ste#205, Goodyear, AZ 85395-2624 | 2014-11-18 |
| 1548532807 | Cherilyn L Larson | Audiologist | 13555 W Mcdowell Rd, Suite 202, Goodyear, AZ 85395 | 2012-02-02 |
| 1104117696 | Arizona Center for Hematology and Oncology, Plc | Urology | 13555 W Mcdowell Rd, 304, Goodyear, AZ 85395-2624 | 2011-05-02 |
| 1699065243 | Dallas Christopher Smith | Anesthesiology | 13555 W Mcdowell Rd, Ste 201, Goodyear, AZ 85395-2624 | 2011-04-17 |
| 1447566302 | Danielle Moller | Physician Assistant | 13555 W Mcdowell Rd, #302, Goodyear, AZ 85395-2624 | 2010-08-29 |
| 1073837209 | Arizona Center for Hematology and Oncology, Plc | Radiology | 13555 W Mcdowell Rd, Suite 210, Goodyear, AZ 85395-2624 | 2010-03-17 |
| 1780915538 | Associated Ophthalmologist | Ophthalmology | 13555 W Mcdowell Rd, #102, Goodyear, AZ 85395 | 2010-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669785598 | Vincent Andrew Chehval | Urology | 13555 W Mcdowell Rd Ste 304, Goodyear, AZ 85395-2629 | 2010-07-20 |
| 1306885249 | David K Caropreso | Urology | 13555 W Mcdowell Rd Ste 203, Goodyear, AZ 85395-2626 | 2006-06-06 |
| 1770025439 | Arizona Urology LLC | Urology | 13555 W Mcdowell Rd, Suite 302, Goodyear, AZ 85395-2624 | 2016-11-12 |
| 1053677625 | Lindsay Marie Derus | Urology | 13555 W Mcdowell Rd Ste 304, Goodyear, AZ 85395-2629 | 2012-04-08 |
| 1104117696 | Arizona Center for Hematology and Oncology, Plc | Urology | 13555 W Mcdowell Rd, 304, Goodyear, AZ 85395-2624 | 2011-05-02 |
| 1215165584 | Stephen Larsen | Urology | 13555 W Mcdowell Rd, 302, Goodyear, AZ 85395-2624 | 2009-06-25 |
| 1013151687 | Vua, LLC | Urology | 13555 W Mcdowell Rd, Suite 304, Goodyear, AZ 85395-2624 | 2009-04-27 |
| 1861663049 | Lipika Roy Mccauley | Urology | 13555 W Mcdowell Rd, Suite 304, Goodyear, AZ 85395-2624 | 2008-03-17 |
| 1497956445 | Torre Rhoades | Urology | 13555 W Mcdowell Rd, Suite 304, Goodyear, AZ 85395-2624 | 2007-05-29 |
| 1417168006 | Darius Jimmy Unwala | Urology | 13555 W Mcdowell Rd, Suite 302, Goodyear, AZ 85395-2624 | 2007-05-24 |
| Find all providers in GOODYEAR | ||||
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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.