TIMOTHY LYONS (NPI# 1164636825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164636825 |
| Entity Type | Individual |
| Full Name | TIMOTHY LYONS |
| Credential | MD |
| Practice Address |
2 Myrtle Lane Hardin IL 62047 |
| Mailing Address |
390 Maple Summit Rd Jerseyville IL 62052-2000 |
| Practice Telephone | 6185769407 |
| Practice Fax Number | 6185762260 |
| Mailing Telephone | 6184987518 |
| Mailing Fax Number | 6184983052 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036116621 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 390 Maple Summit Rd, Jerseyville, IL 620522000 | 6184982101 | 6184988153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235683954 | Timothy Lyons | Counselor | 135 Amelia St, Sutter Creek, CA 95685-9568 | 2016-08-10 |
| 1710279419 | Timothy Lyons | Dentist | 4420 Town Center Blvd, Suite 200, El Dorado Hills, CA 95762-7134 | 2011-05-12 |
| 1992723704 | Timothy R. Lyons | Anesthesiology | 1 Elliot Way Ste 200, Manchester, NH 03103-3502 | 2006-07-18 |
| 1912386467 | Timothy Lyons | Physical Therapist | 719 W Coke Rd, Winnsboro, TX 75494-3011 | 2015-05-28 |
| 1396019717 | Timothy Patrick Lyons | Counselor | 1851 N Commerce Dr, Nixa, MO 65714-7603 | 2012-03-02 |
| 1720350762 | Timothy James Lyons Jr. | Chiropractor | 110 Bloomfield Ave, Suite B, Caldwell, NJ 07006-5336 | 2012-02-07 |
| 1184825788 | Timothy Roger Lyons | Social Worker | 530 7th St Se, Capitol Hill Center, Washington, DC 20003 | 2007-05-30 |
| 1417909359 | Timothy C Lyons | Anesthesiology | 10 Woodland Rd, Saint Helena, CA 94574-9554 | 2006-05-17 |
| 1770552796 | Timothy J Lyons | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425-5417 | 2006-03-14 |
| 1477521755 | Timothy Richard Lyons | Nurse Anesthetist, Certified Registered | 200 Lothrop St, Pittsburgh, PA 15213-2546 | 2006-03-10 |
| Street Address |
2 MYRTLE LANE |
| City | HARDIN |
| State | IL |
| Zip Code | 62047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306933262 | Vicente S. Zata, M.d.,p.c. | Family Medicine | 2 Myrtle Lane, Hardin, IL 62047-0310 | 2006-10-10 |
| 1417352527 | Jersey Community Hospital | Clinic/Center | 2 Myrtle Lane, Hardin, IL 62047 | 2014-10-31 |
| 1912236183 | Jacqueline Sue Baalman | Nurse Practitioner | 2 Myrtle Lane, Hardin, IL 62047 | 2009-12-16 |
| 1003080714 | Robert H. Parish, D.d.s., Ltd. | Dentist | 2 Myrtle Lane, Hardin, IL 62047 | 2008-04-15 |
| 1083789911 | Robert H Parish Jr. | Dentist | 2 Myrtle Lane, Lower Level, Hardin, IL 62047 | 2006-11-24 |
| 1710057732 | Janeth Concepcion Jacinto Zata | General Practice | 2 Myrtle Lane, Hardin, IL 62047-0310 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356510630 | Illinois Valley Economic Development Corporation | Case Management | 200c South County Rd, Hardin, IL 62047 | 2008-02-21 |
| 1699890145 | County of Calhoun | Ambulance | French Street, Hardin, IL 62047 | 2007-03-20 |
| 1619030319 | Barton Pharmacies Inc | Pharmacist | 110 North County Road, Hardin, IL 62047 | 2006-12-18 |
| 1033285994 | Calhoun Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 1 Myrtle Lane, Hardin, IL 62047 | 2006-11-24 |
| 1710080874 | Fox Family Pharmacy Inc | Pharmacy | 110 N County Rd., Hardin, IL 62047 | 2006-09-06 |
| 1457518847 | Melissa Zipprich | Physician Assistant | 106 S Water Street, Hardin, IL 62047 | 2008-05-22 |
| 1124153804 | Illini Medical Associates Sc | Family Medicine | 106 South Water St, Hardin, IL 62047-0106 | 2007-02-22 |
| 1962572982 | Vicente Santiago Zata Jr. | Family Medicine | 106 S Water Street, Hardin, IL 62047-0106 | 2006-11-08 |
| 1033175633 | David A Harmon | Family Medicine | 106 South Water Street, Hardin, IL 62047-0106 | 2006-04-22 |
| 1649261587 | Calhoun County Health Department | Home Health | 210 French Street, Hardin, IL 62047-0158 | 2005-10-31 |
| Find all providers in zip 62047 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124153804 | Illini Medical Associates Sc | Family Medicine | 106 South Water St, Hardin, IL 62047-0106 | 2007-02-22 |
| 1962572982 | Vicente Santiago Zata Jr. | Family Medicine | 106 S Water Street, Hardin, IL 62047-0106 | 2006-11-08 |
| 1306933262 | Vicente S. Zata, M.d.,p.c. | Family Medicine | 2 Myrtle Lane, Hardin, IL 62047-0310 | 2006-10-10 |
| 1043266109 | St Vincent Healthcare | Family Medicine | 16 N Miles Ave, Hardin, MT 59034-2356 | 2006-05-26 |
| 1033175633 | David A Harmon | Family Medicine | 106 South Water Street, Hardin, IL 62047-0106 | 2006-04-22 |
| 1700058435 | Ashley A Quanbeck | Family Medicine | 16 N Miles Ave, Hardin, MT 59034-2356 | 2008-04-02 |
| 1538108204 | Robert S. Wilson | Family Medicine | 16 N Miles Ave, Hardin, MT 59034-2356 | 2006-06-06 |
| 1316994692 | Gary Ostahowski | Family Medicine | 16 N Miles Ave, Hardin, MT 59034-2356 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
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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.