DR. KRZYSZTOF J LYSON (NPI# 1376586073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376586073 |
| Entity Type | Individual |
| Full Name | DR. KRZYSZTOF J LYSON |
| Credential | MD |
| Practice Address |
4100 Duval Rd Bldg 4, Ste 102 Austin TX 78759-4277 |
| Mailing Address |
408 W 45th St Austin TX 78751-3014 |
| Practice Telephone | 5128320999 |
| Practice Fax Number | 5128326094 |
| Mailing Telephone | 5124515800 |
| Mailing Fax Number | 5124591399 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2016-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
K8311 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 38224407 | 05 |
| Street Address |
4100 DUVAL RD BLDG 4, STE 102 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-4277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811960693 | Michelle A Berger | Ophthalmology | 4100 Duval Rd, Bldg 4 Ste 205, Austin, TX 78759 | 2006-02-10 |
| 1730730979 | Monarch Medical Management Group, LLC | Contractor | 4100 Duval Rd, Bldg 3, Suite 100, Austin, TX 78759-3550 | 2019-09-27 |
| 1336799667 | Christopher Michael Petiprin | Contractor | 4100 Duval Rd, Building 3, Suite 100, Austin, TX 78759-3550 | 2019-09-18 |
| 1417422676 | Jessica Lynn Laskoskie | Nurse Practitioner | 4100 Duval Rd, Bldg. IIi Suite 200, Austin, TX 78759 | 2018-10-03 |
| 1366959892 | Aabc In Your Home LLC | Midwife | 4100 Duval Rd, Bldg 2 #101, Austin, TX 78759 | 2018-01-05 |
| 1265943765 | Rebekah Lynne Randall | Registered Nurse | 4100 Duval Rd, Austin, TX 78759-3456 | 2017-10-24 |
| 1316478951 | Anne Leclercq | Midwife | 4100 Duval Rd, Austin, TX 78759-3550 | 2017-03-24 |
| 1437696184 | Kimberly Muck | Nurse Practitioner | 4100 Duval Rd, Bldg IIi Ste 200, Austin, TX 78759 | 2017-01-19 |
| 1073985446 | Nicole Antoinette Busch | Clinical Nurse Specialist | 4100 Duval Rd, Bldg IIi Suite 200, Austin, TX 78759 | 2015-10-26 |
| 1942606587 | Pain Specialists of Austin Pharmacy | Pharmacy | 4100 Duval Rd, Building 3 Suite 201, Austin, TX 78759-3550 | 2014-11-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1841849098 | Austin Kidney Care LLC | Internal Medicine | 2005 Palo Duro Rd, Austin, TX 78757-3242 | 2019-09-10 |
| 1518903525 | Malavika Vinta | Internal Medicine | 408 W 45th St, Austin, TX 78751-3014 | 2006-06-20 |
| 1619911880 | Peter L Miller | Internal Medicine | 321 W Ben White, Ste 205, Austin, TX 78704-7087 | 2006-06-16 |
| 1639112683 | Edith M Simmons | Internal Medicine | 321 W Ben White Blvd, Ste 205, Austin, TX 78704-7087 | 2006-06-14 |
| 1588633846 | Robert E. Hootkins | Internal Medicine | 2119 Wimberly Ln, Austin, TX 78735-1493 | 2006-03-17 |
| 1750368510 | Andrew Alpar | Internal Medicine | 901 S. Mopac Expressway, Bldg. 1, Ste. 300, Austin, TX 78746-1143 | 2005-12-22 |
| 1164407102 | Paul C Nader | Internal Medicine | 4100 Duval Road, Building 4, Suite 102, Austin, TX 78759-4277 | 2005-12-13 |
| 1578561411 | Mark Rosen | Internal Medicine | 3000 North Ih 35, Suite 635, Austin, TX 78705-1804 | 2005-07-13 |
| 1982002903 | Alpar Nephrology Services, Md, Pa | Internal Medicine | 901 Mopac Expressway South, Building 1, Ste. 300, Austin, TX 78746-5883 | 2014-12-08 |
| 1154669331 | Austin Kidney Associates, P. A. | Internal Medicine | 408 W 45th St, Austin, TX 78751-3014 | 2013-01-23 |
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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.