LYLE D. VICTOR, MD, PC (NPI# 1053518373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053518373 |
| Entity Type | Organization |
| Organization Name | LYLE D. VICTOR, MD, PC |
| Practice Address |
18181 Oakwood Blvd Dearborn MI 48124-5032 |
| Mailing Address |
18101 Oakwood Blvd Dearborn MI 48124-4089 |
| Practice Telephone | 3135938620 |
| Practice Fax Number | 3135938551 |
| Mailing Telephone | 3134362581 |
| Mailing Fax Number | 3134362071 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LYLE D VICTOR (PHYSICIAN) |
| Authorized Official Telephone | 3134362581 |
| Authorized Official Credential | MD, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
4301038979 | MI | Ambulatory Health Care Facilities |
| Street Address |
18181 OAKWOOD BLVD |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-5032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013994425 | Maria F Hayes | Obstetrics & Gynecology | 18181 Oakwood Blvd, Ste 109, Dearborn, MI 48124 | 2005-12-28 |
| 1619402203 | Ola Abol Hosn | Nurse Practitioner | 18181 Oakwood Blvd, Dearborn, MI 48124-5032 | 2017-04-20 |
| 1578014502 | Vijayalakshmi Nagappan Md PC | Internal Medicine | 18181 Oakwood Blvd, Suite 101, Dearborn, MI 48124-5032 | 2016-10-14 |
| 1386192417 | William Beaumont Hospital | Durable Medical Equipment & Medical Supplies | 18181 Oakwood Blvd, #104, Dearborn, MI 48124-5032 | 2016-09-19 |
| 1730530973 | Ccma Beaumont Pllc | Internal Medicine | 18181 Oakwood Blvd, Suite 208, Dearborn, MI 48124-5032 | 2016-06-29 |
| 1023465010 | Katherine Anne Repp | Nurse Practitioner | 18181 Oakwood Blvd, Suite 101, Dearborn, MI 48124-5032 | 2016-05-19 |
| 1851768717 | Miada Saad | Physician Assistant | 18181 Oakwood Blvd, Dearborn, MI 48124-5032 | 2015-08-27 |
| 1174909592 | Ian Lytle Md PC | Plastic Surgery | 18181 Oakwood Blvd, Suite 200, Dearborn, MI 48124-5032 | 2015-08-07 |
| 1134502040 | Fawn Renee Watts | Registered Nurse | 18181 Oakwood Blvd, Suite 208, Dearborn, MI 48124-5032 | 2015-07-09 |
| 1467834598 | Maryam Mohammad-pour Daryaee | Audiologist | 18181 Oakwood Blvd, Suite 402, Dearborn, MI 48124-5032 | 2015-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174848188 | Michigan Sleep Lab | Clinic/Center | 13530 Michigan Ave, Suite 130, Dearborn, MI 48126-3574 | 2010-04-01 |
| 1588898241 | Institute of Sleep & Wellness LLC | Clinic/Center | 8744 W Warren Ave, Dearborn, MI 48126-4043 | 2009-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126892 | Jv Sleep Diagnostics Plc | Clinic/Center | 15055 22 Mile Rd Ste 4, Shelby Twp, MI 48315-4401 | 2020-08-31 |
| 1891304572 | Somnolink LLC | Clinic/Center | 2820 W Maple Rd Ste 201c, Troy, MI 48084-7064 | 2020-07-28 |
| 1689210700 | Home Sleep Solutions, L.L.C. | Clinic/Center | 7300 Us Highway 131 S, Cadillac, MI 49601-8439 | 2019-11-24 |
| 1679074470 | Lakeland Medical Practices | Clinic/Center | 2500 Niles Rd Ste 9, Saint Joseph, MI 49085-3268 | 2018-02-27 |
| 1982149738 | Michigan Neurodiagnostics, LLC | Clinic/Center | 2723 S State St Ste 101, Ann Arbor, MI 48104-6188 | 2017-01-04 |
| 1952662744 | Michigan Center for Dental Sleep Medicine, Pllc | Clinic/Center | 8504 Canton Center Road, Canton, MI 48187-1310 | 2012-06-07 |
| 1942526355 | Tranquility Sleep Center | Clinic/Center | 7250 Spy Glass Ln, Ypsilanti, MI 48197-6240 | 2010-04-09 |
| 1336463116 | Sleep Right LLC | Clinic/Center | 3908 E Michigan Ave, Au Gres, MI 48703-9459 | 2010-03-23 |
| 1235462193 | Millennium Optimum Care, LLC | Clinic/Center | 603 Lansing Avenue, Jackson, MI 49202-3209 | 2009-09-10 |
| 1174781918 | Wolverine Sleep Pllc | Clinic/Center | 411 E Russell Rd, Suite 1, Tecumseh, MI 49286-7502 | 2008-05-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LYLE D. VICTOR, MD, PC.
| 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.