ROBERT E LYON INTERNAL MEDICINE, INC. (NPI# 1225265598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225265598 |
| Entity Type | Organization |
| Organization Name | ROBERT E LYON INTERNAL MEDICINE, INC. |
| Practice Address |
420 Gunby Ave Bastrop LA 71220-4406 |
| Practice Telephone | 3182813432 |
| Practice Fax Number | 3182818850 |
| Mailing Telephone | 3182813432 |
| Mailing Fax Number | 3182818850 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |
| Authorized Official Name | ROBERT E LYON (OWNER) |
| Authorized Official Telephone | 3182813432 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 015059 | LA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 014103 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1302112 | 05 |
| Street Address |
420 GUNBY AVE |
| City | BASTROP |
| State | LA |
| Zip Code | 71220-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780641621 | Anthony Young | Physician Assistant | 420 Gunby Ave, Bastrop, LA 71220-4406 | 2006-04-26 |
| 1346505393 | Heather Hollis Davis | Nurse Practitioner | 420 Gunby Ave, Bastrop, LA 71220-4406 | 2012-07-05 |
| 1063796571 | Morehouse Internal Medicine Clinic | Physician Assistant | 420 Gunby Ave, Bastrop, LA 71220-4406 | 2011-10-03 |
| 1467748459 | Renita Smalley Bryant | Nurse Practitioner | 420 Gunby Ave, Bastrop, LA 71220-4406 | 2011-06-28 |
| 1245544923 | Morehouse General Hospital | Nurse Practitioner | 420 Gunby Ave, Bastrop, LA 71220-4406 | 2010-08-05 |
| 1801027131 | Robert E Lyon Internal Medicine, Inc | Family Medicine | 420 Gunby Ave, Bastrop, LA 71220-4406 | 2009-08-04 |
| 1144334863 | Maribeth Gambill | Nurse Practitioner | 420 Gunby Ave, Bastrop, LA 71220-4406 | 2006-08-18 |
| 1447284021 | Carlos Hernandez | Physician Assistant | 420 Gunby Ave, Bastrop, LA 71220-4406 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1275002685 | Hulin Urgent Care Services, LLC | Clinic/Center | 2100 East Madison Avenue, Bastrop, LA 71220 | 2018-11-14 |
| 1023594975 | Shuntel Ramona Johnson | Counselor | 8891 Holley Farm Road, Bastrop, LA 71220 | 2018-07-13 |
| 1376050526 | Kevin Hubbard | Case Manager/Care Coordinator | 9409 Willow Dr, Bastrop, LA 71220 | 2018-01-09 |
| 1265957229 | Alma Holmes | Behavioral Analyst | 644 E. Jefferson Ave, Bastrop, LA 71220 | 2017-08-10 |
| 1427570886 | Jennifer Rochelle Glosson | Counselor | 410 S. Franklin St, Bastrop, LA 71220 | 2017-07-07 |
| 1386179307 | Total Divine Care LLC | Community/Behavioral Health | 1840 North Washington Street, Bastrop, LA 71220 | 2017-04-27 |
| 1538609524 | Tyrra Watkins | Counselor | 10599 Parkwood Dr, Bastrop, LA 71220 | 2017-02-24 |
| 1528502119 | Oatie Brooks | Counselor | 813 Mccreight Street, Bastrop, LA 71220 | 2016-12-15 |
| 1487197810 | Valencia Reese | Counselor | 10434 Boswell St, Bastrop, LA 71220 | 2016-12-03 |
| Find all providers in zip 71220 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306254933 | Bastrop County Medical & Associates, P.a. | Internal Medicine | 475 Highway 71 W, Bastrop, TX 78602-3745 | 2014-07-28 |
| 1467695460 | Mathew Robert Meeneghan | Internal Medicine | 3107 Highway 71 E, Bastrop, TX 78602-5158 | 2009-04-07 |
| 1902985427 | Augustin Roger Batlle | Internal Medicine | 195 S. Hasler Blvd., Suite B-1, Bastrop, TX 78602-4081 | 2006-11-03 |
| 1417936261 | Rajeev Gupta | Internal Medicine | 489 Agnes St, 100, Bastrop, TX 78602-2156 | 2006-01-11 |
| 1609286251 | Bartlomiej Posnik | Internal Medicine | 3107 Highway 71 E, Bastrop, TX 78602-5158 | 2014-05-05 |
| 1386944361 | Texas Cardiac Arrhythmia Pllc | Internal Medicine | 441 Hwy 71 W, Bastrop, TX 78602-3931 | 2010-10-25 |
| 1871732669 | Delta Medical Practices, L.L.C. | Internal Medicine | 510 S Washington St, Bastrop, LA 71220-5033 | 2009-02-18 |
| 1740490895 | Joseph A Walters Jr. | Internal Medicine | 425 S Vine St, Bastrop, LA 71220-4513 | 2007-05-23 |
| 1588680672 | Brent A Porter | Internal Medicine | 441 Highway 71 W, Suite C, Bastrop, TX 78602-3931 | 2006-07-14 |
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| 1417583428 | Garbutt Medical LLC | Internal Medicine | 9373 Barringer Foreman Rd Bldg 2, Baton Rouge, LA 70809-5716 | 2020-03-21 |
| 1437784907 | Affinity Health Group, LLC | Internal Medicine | 13348 Coursey Blvd, Baton Rouge, LA 70816-4970 | 2020-03-05 |
| 1538794011 | Ochsner Clinic LLC | Internal Medicine | 4150 Nelson Rd Bldg C, Lake Charles, LA 70605-4148 | 2020-03-05 |
| 1790315026 | Cody Tingle Md LLC | Internal Medicine | 535 Pierremont Rd, Shreveport, LA 71106-2207 | 2020-01-26 |
| 1376182188 | Ochsner Clinic LLC | Internal Medicine | 5950 Bullard Ave, New Orleans, LA 70128-2816 | 2019-12-26 |
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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.