KENNETH P. LYONS (NPI# 1770523391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770523391 |
| Entity Type | Individual |
| Full Name | KENNETH P. LYONS |
| Credential | M.D. |
| Practice Address |
20162 Sw Birch St Suite 150 Newport Beach CA 92660-0787 |
| Practice Telephone | 9492211700 |
| Practice Fax Number | 9492211704 |
| Mailing Telephone | 9492211700 |
| Mailing Fax Number | 9492211704 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine | G12843 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00G128430 | 01 |
| CA | 00G128430 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629579438 | Kenneth Edward Lyons Jr. | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2018-02-27 |
| 1124558614 | Kenneth Robert Lyons | Counselor | 3639 Mlk Jr Way S, Seattle, WA 98144 | 2017-06-15 |
| 1669528741 | Kenneth D. Lyons | Physician Assistant | 799 Highland Ave, Winston Salem, NC 27101-4206 | 2007-01-25 |
| 1346208600 | Kenneth F Lyons | Pediatrics | 2835 N Sheffield Ave, #501, Chicago, IL 60657-5081 | 2006-05-03 |
| 1932199734 | Kenneth Anthony Lyons | Internal Medicine | 312 E Main St, Marshalltown, IA 50158-1888 | 2005-10-24 |
| Street Address |
20162 SW BIRCH ST SUITE 150 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-0787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598199903 | Premier Dermatology Associates of Orange County | Dermatology | 20162 Sw Birch St, Suite #250, Newport Beach, CA 92660-0787 | 2013-08-22 |
| 1851661144 | Hay Medical Corporation | Specialist | 20162 Sw Birch St, Suite 325, Newport Beach, CA 92660-0794 | 2012-01-04 |
| 1447489604 | Ync Enterprise Inc. | Durable Medical Equipment & Medical Supplies | 20162 Sw Birch St, Ste 220a, Newport Beach, CA 92660-0787 | 2009-07-09 |
| 1063551760 | Neil M. Barth, M.d., Inc. | Internal Medicine | 20162 Sw Birch St, Suite 200, Newport Beach, CA 92660-0787 | 2007-02-06 |
| 1295875854 | Robert Matthew Carroll | Internal Medicine | 20162 Sw Birch St, Suite 200, Newport Beach, CA 92660-0787 | 2007-02-06 |
| 1235279811 | Nicole A Tomlin | Physician Assistant | 20162 Sw Birch St, Suite 200, Newport Beach, CA 92660-0787 | 2007-02-06 |
| 1245379858 | Neil Michael Barth | Internal Medicine | 20162 Sw Birch St, Suite 200, Newport Beach, CA 92660-0787 | 2007-02-06 |
| 1891853941 | Birch Radiology Associates, Inc. | Radiology | 20162 Sw Birch St, Suite 150, Newport Beach, CA 92660-0787 | 2006-12-04 |
| 1922038165 | Birch Medical Office Center, LLC | Clinic/Center | 20162 Sw Birch St, Suite 150, Newport Beach, CA 92660-0787 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 207U00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Nuclear Medicine, 2007. http://www.abnm.org/. A doctor of osteopathy was able to obtain a Certificate of Added Qualifications in the field of Nuclear Medicine. The Certificate is NO longer offered. - American Osteopathic Board of Nuclear Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700988268 | William Stephen Holtz | Nuclear Medicine | 1605 Avocado Ave, Newport Beach, CA 92660-7725 | 2006-09-03 |
| 1013951714 | Newport Center Radiology Associates Medical Group Inc | Nuclear Medicine | 360 San Miguel Dr Ste 106, Newport Beach, CA 92660 | 2006-06-15 |
| 1245284843 | Pacific Coast Cardiology Medical Group | Nuclear Medicine | 3300 W Coast Hwy, Suite A, Newport Beach, CA 92663-4007 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255950655 | Walter Mcmillan | Nuclear Medicine | 3740 Santa Rosalia Dr Apt 308, Los Angeles, CA 90008-3624 | 2020-04-15 |
| 1629441563 | David Marshall Shames | Nuclear Medicine | 2737 Claremont Blvd, Berkeley, CA 94705-1321 | 2015-10-31 |
| 1073915831 | Edward W. Tam | Nuclear Medicine | 810 Hallmark Dr, Redding, CA 96001-0151 | 2014-09-23 |
| 1619389665 | Robbie Kaveh Sooriash | Nuclear Medicine | 25856 Bellis Dr, Valencia, CA 91355-2054 | 2014-05-27 |
| 1417367079 | Mark S. Bettermon | Nuclear Medicine | 22233 Village 22, Camarillo, CA 93012 | 2014-05-05 |
| 1598104101 | Merlin Stanley Puterbaugh | Nuclear Medicine | 480 Lassen St, # 1, Los Altos, CA 94022-3986 | 2013-06-17 |
| 1104269729 | Shadfar Bahri | Nuclear Medicine | 200 Medical Plaza Suite B114, Los Angeles, CA 90095-5201 | 2013-04-12 |
| 1336404599 | John Richard White | Nuclear Medicine | 4400 Palos Verdes Dr E, Rancho Palos Verdes, CA 90275-6474 | 2012-07-12 |
| 1144506395 | Ella Yevdayev | Nuclear Medicine | 4510 E Pacific Coast Ste 320, Long Beach, CA 90804-6926 | 2011-11-01 |
| 1154602480 | Haluk Alibazoglu | Nuclear Medicine | 5536 Renaissance Ave, Unit No 3, San Diego, CA 92122-5673 | 2011-08-31 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
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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.