JOHN P LYDON DPM (NPI# 1619967726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619967726 |
| Entity Type | Organization |
| Organization Name | JOHN P LYDON DPM |
| Other Organization Name | BETHESDA AMBULATORY SURGICAL CENTER |
| Practice Address |
5620 Shields Dr Bethesda MD 20817-3532 |
| Practice Telephone | 3015304181 |
| Practice Fax Number | 3015304373 |
| Mailing Telephone | 3015304181 |
| Mailing Fax Number | 3015304373 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2010-08-31 |
| Authorized Official Name | DR. JOHN PATRICK LYDON (PODIATRIST/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3015304181 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
A1170 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | ALLIANCE | 332454 | 01 |
| MD | BLUE CROSS & BLUE SHIELD | MV1 | 01 |
| Other Name | Type Code |
|---|---|
| Bethesda Ambulatory Surgical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881825495 | John P Lydon Dpm | Clinic/Center | 5620 Shields Dr, Bethesda, MD 20817-3532 | 2009-07-30 |
| Street Address |
5620 SHIELDS DR |
| City | BETHESDA |
| State | MD |
| Zip Code | 20817-3532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881825495 | John P Lydon Dpm | Clinic/Center | 5620 Shields Dr, Bethesda, MD 20817-3532 | 2009-07-30 |
| 1639349780 | John P. Lydon, D.p.m. | Durable Medical Equipment & Medical Supplies | 5620 Shields Dr, Bethesda, MD 20817-3532 | 2008-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135291 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr., Suite# 109, Bethesda, MD 20817 | 2020-02-05 |
| 1659918175 | Morgan Cheatham | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd, Suite 300, Bethesda, MD 20817 | 2019-12-03 |
| 1780233601 | Natalie Milazzo | Behavior Technician | Attattn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-09-04 |
| 1366090649 | Sarah Danko | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-29 |
| 1679120760 | Markita Mccurdy | Behavior Technician | 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-22 |
| 1548716277 | Roberta Glass | Psychiatry & Neurology | 9806 Marquette Dr., Bethesda, MD 20817 | 2016-09-01 |
| 1952725525 | Jenna Kuhn | Student in an Organized Health Care Education/Training Program | 6701 Democracy Blvd. Attn: Behavioral Health Works, Suite 300, Bethesda, MD 20817 | 2014-02-18 |
| 1912338088 | Nayereh Nina Ghamarian | Dentist | 6017 Bradley Blvd, Bethesda, MD 20817 | 2013-11-27 |
| 1386076495 | Hugo Galindo | Physical Therapist | 6410 Rockledge Drive, Suite 100, Nrh Rehabilitation Network Bethesda, Bethesda, MD 20817 | 2013-07-31 |
| 1538509260 | Anameti Usoro | Anesthesiology | 6430 Rockledge Dr Ste 160, Bethesda, MD 20817 | 2013-06-26 |
| Find all providers in zip 20817 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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|---|---|---|---|---|
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| 1326075250 | Suburban Outpatient Surgery Center, LLC | Clinic/Center | 6420 Rockledge Dr Ste 2100, Bethesda, MD 20817-7841 | 2006-06-27 |
| 1295385482 | Johns Hopkins Surgery Centers Series | Clinic/Center | 6420 Rockledge Dr Ste 2100, Bethesda, MD 20817-7841 | 2019-09-19 |
| 1659748184 | Surgcenter of The Potomac, LLC | Clinic/Center | 6500 Rock Spring Dr, 100, Bethesda, MD 20817-1105 | 2015-09-01 |
| 1659772648 | Surgical Specialty Center of Mid Atlantic, LLC | Clinic/Center | 6430 Rockledge Dr, Suite # 110, Bethesda, MD 20817-1805 | 2014-09-09 |
| 1972869881 | Advanced Surgery Center of Bethesda, LLC | Clinic/Center | 6430 Rockledge Dr, # 160, Bethesda, MD 20817-1805 | 2012-04-04 |
| 1245529189 | Capitol Surgical Center LLC | Clinic/Center | 6410 Rockledge Dr, Suite 110, Bethesda, MD 20817-1809 | 2011-03-31 |
| 1134431323 | Bethesda Chevy Chase Surgery Center, LLC | Clinic/Center | 6931 Arlington Rd, Suite E, Bethesda, MD 20814-5231 | 2010-07-05 |
| 1881825495 | John P Lydon Dpm | Clinic/Center | 5620 Shields Dr, Bethesda, MD 20817-3532 | 2009-07-30 |
| 1407066822 | Spinal Injection Institute | Clinic/Center | 6410 Rockledge Dr, Suite 110, Bethesda, MD 20817-1809 | 2007-05-23 |
| Find all providers in BETHESDA | ||||
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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.