DR. MALCOLM KENT LYON (NPI# 1487708624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487708624 |
| Entity Type | Individual |
| Full Name | DR. MALCOLM KENT LYON |
| Credential | DO |
| Practice Address |
1204 N Mound St Nacogdoches TX 75961-4027 |
| Mailing Address |
Po Box 630810 Nacogdoches TX 75963-0810 |
| Practice Telephone | 9365688448 |
| Mailing Telephone | 9365590235 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
F9762 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1204 N MOUND ST |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75961-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821180 | Sabrina Guillory | Advanced Practice Midwife | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2005-06-16 |
| 1568902294 | Nacogdoches County Hospital District | Skilled Nursing Facility | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2017-02-28 |
| 1669912564 | Nacogdoches County Hospital District | Skilled Nursing Facility | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2017-02-27 |
| 1780139956 | Ess of Nacogdoches LLC | Emergency Medicine | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2016-08-17 |
| 1558754259 | Memorial Hospital | Psychiatric Hospital | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2015-03-05 |
| 1053711804 | Nacogdoches County Hospital District | Pathology | 1204 N Mound St, Nacogdoches, TX 75961 | 2014-08-29 |
| 1710233846 | David Andrew Thomas | Family Medicine | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2012-07-26 |
| 1154691327 | Wallace D Womack | Nurse Anesthetist, Certified Registered | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2012-01-05 |
| 1942581756 | Marti Leanne Rodriguez | Dietitian, Registered | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2011-09-07 |
| 1700195013 | Vanessa Y Hooper | Dietitian, Registered | 1204 N Mound St, Dietary Department, Nacogdoches, TX 75961-4027 | 2010-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195582 | Trevon Jerrell Jones | Specialist/Technologist | 13010 Sfa Station, Nacogdoches, TX 75961 | 2020-02-07 |
| 1275014094 | Connie Nicole Hamner | Licensed Vocational Nurse | 214 Cr 387, Nacogdoches, TX 75961 | 2018-08-29 |
| 1689175804 | Barbara Stracener | Registered Nurse | 234 Grove Lane, Nacogdoches, TX 75961 | 2018-02-22 |
| 1710425541 | St.alyssamedical Center | Clinic/Center | 1303 N. Mound Street, Nacogdoches, TX 75961 | 2017-01-31 |
| 1609319458 | Nacogdoches Internal Medicine Pllc | Internal Medicine | 412 North St Ste E, Nacogdoches, TX 75961 | 2016-11-28 |
| 1972982866 | Deanna Ellen Bishop | Nurse Practitioner | 1309 S. University Dr, East Texas Community Health Services, Inc., Nacogdoches, TX 75961 | 2015-05-25 |
| 1659798155 | Dr. Ronnie Hancock Family Dentistry, Pllc | Dental Hygienist | 1302 Raguet Street, Nacogdoches, TX 75961 | 2014-03-21 |
| 1205095585 | Chris R Chambers | Surgery | 1018 N Mound St Ste 106, Nacogdoches, TX 75961 | 2008-06-03 |
| 1972790285 | Assisted Living Concepts Inc | Assisted Living Facility | 901 Oakview Drive, Nacogdoches, TX 75961 | 2007-10-01 |
| 1356492151 | James Knox Dowling | Pediatrics | 2106 N. Raguet, Nacogdoches, TX 75961 | 2007-01-16 |
| Find all providers in zip 75961 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776208 | Atj Community Services | Emergency Medicine | 3636 Creek View Cir, Dallas, TX 75233-1704 | 2020-09-28 |
| 1053925636 | Code 4 Emergency Services LLC | Emergency Medicine | 1901 E 51st St, Austin, TX 78723-3040 | 2020-09-01 |
| 1912510710 | Post Oak Physician Group, Pllc | Emergency Medicine | 3101 Golfcrest Blvd, Houston, TX 77087-2405 | 2020-08-31 |
| 1063039790 | Victory Ambulance Care LLC | Emergency Medicine | 210b N 5th St, Carrizo Springs, TX 78834-3104 | 2020-06-29 |
| 1225652779 | Rgv Urgent Care Clinic Mcallen LLC | Emergency Medicine | 2812 W Nolana Ave Ste 210, Mcallen, TX 78504-4190 | 2020-06-01 |
| 1760022776 | Kyle Ip, Pllc | Emergency Medicine | 5615 Kyle Center Dr, Kyle, TX 78640-6553 | 2020-01-08 |
| 1659832160 | Red River Ep Pllc | Emergency Medicine | 2022 N Us Highway 75, Sherman, TX 75090-2802 | 2019-03-27 |
| 1588135024 | Scott Allen Frankel | Emergency Medicine | 5205 Pine St, Bellaire, TX 77401-4820 | 2018-12-10 |
| 1104324433 | Anc Physicians Group Pllc | Emergency Medicine | 1860 S Seguin Ave Ste 400, New Braunfels, TX 78130-3915 | 2018-02-01 |
| 1780197574 | 4642 N Mesa Er Physicians Pllc | Emergency Medicine | 4642 N Mesa St., El Paso, TX 79912 | 2017-11-15 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75961 |
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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.