CHARLES R LYON (NPI# 1841388253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841388253 |
| Entity Type | Individual |
| Full Name | CHARLES R LYON |
| Credential | D.O. |
| Practice Address |
309 Ecorse Rd Ypsilanti MI 48198-5733 |
| Practice Telephone | 7344840580 |
| Practice Fax Number | 7344846410 |
| Mailing Telephone | 7344840580 |
| Mailing Fax Number | 7344846410 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101005487 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010183 | Charles Franklin Lyon | Counselor | 3805 New Holland Dr, Wilmington, NC 28412-7155 | 2020-07-13 |
| 1659581437 | Charles R Lyon | Dentist | 124 W Ml King Jr Dr, Hinesville, GA 31313-3226 | 2007-05-23 |
| 1558380303 | Charles Eliot Lyon | Ophthalmology | 836 Olive St, Shreveport, LA 71104-2102 | 2006-07-19 |
| 1093082190 | Charles Sterling Lyon | Pharmacist | 1920 S Chelton Rd, Colorado Springs, CO 80916-5304 | 2011-11-17 |
| 1184618555 | Charles Monroe Lyon | Surgery | 4311 E Lohman Ave, Las Cruces, NM 88011-8255 | 2005-08-31 |
| Street Address |
309 ECORSE RD |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48198-5733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164510574 | Brooks Lyon & Brooks Do PC | Family Medicine | 309 Ecorse Rd, Ypsilanti, MI 48198-5733 | 2006-10-11 |
| 1669920773 | Katherine Marie Mckowell | Nurse Practitioner | 309 Ecorse Rd, Ypsilanti, MI 48198-5733 | 2016-09-18 |
| 1730539669 | Sarah Elizabeth Butler | Physician Assistant | 309 Ecorse Rd, Ypsilanti, MI 48198-5733 | 2016-06-22 |
| 1528342078 | Patricia Marie Seay | Physician Assistant | 309 Ecorse Rd, Ypsilanti, MI 48198-5733 | 2011-10-03 |
| 1245328640 | Robert David Brooks | Family Medicine | 309 Ecorse Rd, Ypsilanti, MI 48198-5733 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840602 | Paxxon Healthcare Services LLC | Occupational Therapist | 8100 Geddes Road, Superior Township, MI 48198 | 2019-06-13 |
| 1053885137 | Justine Altman | Health Educator | 9855 High Meadow Dr., Ypsilanti, MI 48198 | 2019-01-11 |
| 1730650516 | Mark Neumann | Driver | 1233 Hull Ave, Ypsilanti, MI 48198 | 2018-12-05 |
| 1144703810 | Douglas John Pealer | Speech-Language Pathologist | 8100 Geddes Rd, Superior Charter Township, MI 48198 | 2018-09-10 |
| 1225520919 | Kathleen M Hartwell-king Iv | Nurse Practitioner | 315 Holmes Rd, Ypsilanti, MI 48198 | 2018-05-30 |
| 1205354339 | Kawana Young | Home Health | 1811 George Ave, Ypsilanti, MI 48198 | 2017-09-09 |
| 1477009173 | Brittney Thomas | Technician, Other | 1431 Leforge Rd Apt 301, Ypsilant, MI 48198 | 2016-09-01 |
| 1528461167 | Emily Purdey | Social Worker | 8604 Pine Ct, Ypsilanti, MI 48198 | 2014-09-26 |
| 1063812550 | Harry Lee Hampton Jr. | Driver | 868 Allen St, Ypsilanti, MI 48198 | 2014-09-03 |
| 1073932760 | Ed Mcswain | Counselor | 6633 Stoney Creek Rd, Ypsilanti, MI 48198 | 2014-04-10 |
| Find all providers in zip 48198 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336599174 | Thuy An Orlando | Family Medicine | 1065 N Huron River Dr Ste 100, Ypsilanti, MI 48197-3296 | 2016-06-13 |
| 1598197600 | My Visiting Doctor | Family Medicine | 850 S Hewitt Rd # 20, Ypsilanti, MI 48197-4594 | 2013-07-31 |
| 1477884237 | Robert J. Fisher | Family Medicine | 550 Cliffs Dr, #301c, Ypsilanti, MI 48198-7340 | 2010-01-19 |
| 1083852917 | Martha O. Kershaw | Family Medicine | 103 Arnet St., Hope Medical Clinic, Ypsilanti, MI 48198 | 2009-01-30 |
| 1508985045 | St Joseph Mercy Hospital | Family Medicine | 111 N Huron Street, Suite D225, Ypsilanti, MI 48197-1051 | 2007-03-28 |
| 1164510574 | Brooks Lyon & Brooks Do PC | Family Medicine | 309 Ecorse Rd, Ypsilanti, MI 48198-5733 | 2006-10-11 |
| 1033201926 | Christine Theresa Cigolle | Family Medicine | 200 Arnett St, Suite 200, Ypsilanti, MI 48198-5753 | 2006-09-28 |
| 1730112947 | Stuart William Bilyeu | Family Medicine | 200 Arnet St Ste 170, Ypsilanti, MI 48198-5753 | 2006-07-09 |
| 1386624591 | Jaclyn Randel | Family Medicine | 5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003 | 2006-01-23 |
| 1649790346 | Jonathan G Gabison | Family Medicine | 200 Arnet St, Ypsilanti, MI 48198-5753 | 2017-06-23 |
| Find all providers in YPSILANTI | ||||
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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.