LEOLA MAE LYON (NPI# 1336196310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336196310 |
| Entity Type | Individual |
| Full Name | LEOLA MAE LYON |
| Credential | PA-C |
| Practice Address |
809 Jackson St Burke SD 57523-2065 |
| Practice Telephone | 6057752631 |
| Practice Fax Number | 6057752564 |
| Mailing Telephone | 6057752631 |
| Mailing Fax Number | 6057752564 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2013-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0559 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
809 JACKSON ST |
| City | BURKE |
| State | SD |
| Zip Code | 57523-2065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568935237 | Kris A Schweigert | Counselor | 809 Jackson St, Burke, SD 57523-2065 | 2019-01-06 |
| 1659544807 | Community Memorial Hospital | Home Health | 809 Jackson St, Burke, SD 57523-0319 | 2008-04-09 |
| 1487878435 | Community Memorial Hospital, Inc | Clinic/Center | 809 Jackson St, Burke, SD 57523-0319 | 2007-04-12 |
| 1053492827 | Tony L Berg | Family Medicine | 809 Jackson St, Burke, SD 57523-2065 | 2006-10-18 |
| 1417038100 | Mary S Carpenter | Family Medicine | 809 Jackson St, Burke, SD 57523-2065 | 2006-10-18 |
| 1124108568 | Community Memorial Hospital, Inc | General Acute Care Hospital | 809 Jackson St, Burke, SD 57523-0319 | 2006-10-17 |
| 1902849516 | Community Memorial Hospital, Inc | General Acute Care Hospital | 809 Jackson St, Burke, SD 57523-0319 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710047949 | Burke Community Pharmacy | Pharmacy | 814 Jackson Street, Burke, SD 57523 | 2006-12-11 |
| 1568754216 | Megan M Smith | Family Medicine | 814 Jackson St, Burke, SD 57523 | 2011-05-12 |
| 1497875306 | Burke Ambulance Service, Inc. | Ambulance | 701 Washington Street, Burke, SD 57523-0061 | 2007-04-02 |
| 1578889523 | Burke Volunteer Fire Department and Ambulance Service Inc | Ambulance | 701 Washington Street, Burke, SD 57523-0061 | 2010-04-15 |
| 1841601176 | Nancy Benter | Registered Nurse | 145 W 5 St, Burke, SD 57523-0147 | 2014-05-08 |
| 1356347496 | Debra K Leibel | Nurse Practitioner | 814 Jackson St, Burke, SD 57523-0358 | 2005-06-23 |
| 1447293196 | Community Memorial Hospital, Inc | Clinic/Center | 814 Jackson St, Burke, SD 57523-0358 | 2006-06-13 |
| 1346289568 | Michael R Birgenheir | Physician Assistant | 814 Jackson St, Burke, SD 57523-0358 | 2006-06-05 |
| 1790732600 | Amy S Juracek | Nurse Practitioner | 814 Jackson St, Burke, SD 57523-0358 | 2006-05-27 |
| 1881794006 | Sanford Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 841 Jackson St Suite A, Burke, SD 57523-0375 | 2006-09-25 |
| Find all providers in zip 57523 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316157159 | Luisa I. Carreiro Powe | Physician Assistant | 5631 Burke Centre Pkwy, Burke, VA 22015-2234 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831595545 | Kayla Weisbeck | Physician Assistant | 200 E Havens Ave, Mitchell, SD 57301-0432 | 2014-11-06 |
| 1306269287 | Prairie Community Health Inc. | Physician Assistant | 223 A Street, Dupree, SD 57623-9999 | 2014-01-28 |
| 1528392941 | Marilyn Margaret Roberts | Physician Assistant | Crhc, 24276 166th St, Airport Rd, Eagle Butte, SD 57625-1012 | 2009-10-01 |
| 1255516324 | Harding County Healthcare LLC | Physician Assistant | 209 Ramsland Street, Buffalo, SD 57720-0182 | 2008-01-08 |
| 1790972719 | Angela Blane Chambers | Physician Assistant | 161 S Main St., Mission, SD 57555 | 2007-10-03 |
| 1649348590 | Richard Dunn | Physician Assistant | Pine Ridge Hospital East Highway 18, Pine Ridge, SD 57770-1201 | 2006-11-30 |
| 1649368960 | Gary Neil Wurgler | Physician Assistant | 47226 S Rhonda Ave, Sioux Falls, SD 57108 | 2006-10-11 |
| 1558464446 | Douglas County Memorial Hospital | Physician Assistant | 301 Main Street, Stickney, SD 57375-0014 | 2006-09-06 |
| 1760493811 | Renette Lynne Kroupa | Physician Assistant | Hwy 34/47, Fort Thompson, SD 57339 | 2006-08-11 |
| 1356375992 | Ruth M Thomas | Physician Assistant | Soldier Creek Road,box 400, Rosebud Indian Health Service Hospital, Rosebud, SD 57570-0400 | 2006-07-10 |
| 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.