TRACI M LYONS (NPI# 1720416985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720416985 |
| Entity Type | Individual |
| Full Name | TRACI M LYONS |
| Credential | PA-C |
| Practice Address |
940 N Marr Rd Suite C Columbus IN 47201-2609 |
| Mailing Address |
16086 Tenor Way Noblesville IN 46060-9287 |
| Practice Telephone | 8123769353 |
| Practice Fax Number | 8123763757 |
| Mailing Telephone | 3174353147 |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10001601A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982096871 | Traci Lyons | Registered Nurse | 9527 W Ridge Trail Rd, Soddy Daisy, TN 37379-4018 | 2015-03-02 |
| Street Address |
940 N MARR RD SUITE C |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47201-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689660425 | Tina M Latta | Nurse Practitioner | 940 N Marr Rd, Suite B, Columbus, IN 47201-2609 | 2005-09-27 |
| 1205260593 | Andrew J Walker | Physician Assistant | 940 N Marr Rd, Suite C, Columbus, IN 47201-2609 | 2013-08-22 |
| 1932313996 | Allison Rae Clock | Physician Assistant | 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 | 2007-05-09 |
| 1316072804 | Southern Indiana Orthopedics | Durable Medical Equipment & Medical Supplies | 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 | 2007-02-23 |
| 1023034519 | Andrew J Bulla | Physician Assistant | 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 | 2006-07-15 |
| 1851321426 | Larry Dean Olson | Orthopaedic Surgery | 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 | 2006-07-03 |
| 1548299969 | Thomas W Marshall | Orthopaedic Surgery | 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 | 2006-06-30 |
| 1144259623 | Lisa R Lanham | Podiatrist | 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 | 2006-06-30 |
| 1679501605 | Southern Indiana Orthopedics Inc | Orthopaedic Surgery | 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 | 2006-06-29 |
| 1053349928 | Darryl A Tannenbaum | Orthopaedic Surgery | 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389569 | Ryanne Nicole Slavens | Speech-Language Pathologist | 1974 Glenmoor Drive, Columbus, IN 47201 | 2020-09-08 |
| 1023670759 | Alisha Nicole Scoville | Counselor | 2630 22nd Street, Columbus, IN 47201 | 2019-07-02 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1790148849 | Gabriel Woon | Specialist | 913 25th St., Columbus, IN 47201 | 2016-04-05 |
| 1144680604 | Forefront Dermatology, S.c. | Dermatology | 244 Westwood Blvd, Columbus, IN 47201 | 2016-02-26 |
| 1871832550 | Jennifer Lynn Grant | Nurse Practitioner | 836 Jackson St., Columbus, IN 47201 | 2013-01-31 |
| 1235404526 | Eric Philip Tannenbaum | Orthopaedic Surgery | 940 N Marr Rd Ste C, Columbus, IN 47201 | 2012-03-20 |
| 1881994176 | Terri Ann Brewer | Social Worker | 12000 W. Moores Vineyard Rd, Columbus, IN 47201 | 2010-11-02 |
| 1255654620 | The Kane Group LLC | Durable Medical Equipment & Medical Supplies | 927 Fourth Street, Columbus, IN 47201 | 2010-03-12 |
| 1023243771 | Allison K Royer | Otolaryngology | 2326 18th Street, Suite 230, Columbus, IN 47201 | 2009-05-26 |
| Find all providers in zip 47201 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861936155 | Surgical Fusion, LLC | Physician Assistant | 605 N High St # 237, Columbus, OH 43215-2024 | 2016-12-06 |
| 1114177722 | Malachi Hutto IIi | Physician Assistant | 2300a Manchester Express Way Suite 101a, St. Francis Orthopaedic Institute, Columbus, GA 31904 | 2008-09-19 |
| 1518167279 | Howard A. Paskett | Physician Assistant | 2050 Kenny Rd Ste 3300, Columbus, OH 43221-3502 | 2007-07-20 |
| 1346440286 | Mary Fisher Feldman | Physician Assistant | N-839 Doan Hall 410 West 10th Ave., Osu Thoracic Surgery, Columbus, OH 43210-1240 | 2007-07-19 |
| 1033190723 | Brian Douglas Foor | Physician Assistant | 3465 Macon Rd, Ste D, Columbus, GA 31907-2582 | 2005-11-09 |
| 1063031516 | Erik C Zimmer | Physician Assistant | 285 E State St Ste 260, Columbus, OH 43215-4322 | 2020-04-15 |
| 1023662327 | Emily L Sedler | Physician Assistant | 940 N Marr Rd Ste C, Columbus, IN 47201-2610 | 2019-07-25 |
| 1225500127 | Eric M Ladow | Physician Assistant | 285 E State St Ste 400, Columbus, OH 43215-4354 | 2018-12-18 |
| 1629581178 | Frehun Ayele Asele | Physician Assistant | 700 Childrens Dr, Columbus, OH 43205-2664 | 2017-11-07 |
| 1437674793 | Monica Faye Mills | Physician Assistant | 255 Baptist Blvd Ste 401, Columbus, MS 39705 | 2017-08-08 |
| Find all providers in COLUMBUS | ||||
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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.