JAMES LYDDON (NPI# 1992770986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992770986 |
| Entity Type | Individual |
| Full Name | JAMES LYDDON |
| Credential | DO |
| Practice Address |
32255 Northwestern Hwy Ste 100 Farmington Hills MI 48334-1573 |
| Mailing Address |
29992 Northwestern Hwy Ste C Farmington Hills MI 48334-3292 |
| Practice Telephone | 2489450000 |
| Practice Fax Number | 2489451819 |
| Mailing Telephone | 2488511430 |
| Mailing Fax Number | 2488515182 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
5101009720 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4802606 | 05 |
| Street Address |
32255 NORTHWESTERN HWY STE 100 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-1573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174961122 | Samuel Rosenbaum | Orthopaedic Surgery | 32255 Northwestern Hwy Ste 100, Farmington Hills, MI 48334-1573 | 2013-06-12 |
| 1023218153 | Daya Vora | Specialist | 32255 Northwestern Hwy Ste 100, Farmington Hills, MI 48334-1573 | 2007-07-18 |
| 1912933540 | Mmg 1pc | Psychiatry & Neurology | 32255 Northwestern Hwy Ste 100, Farmington Hills, MI 48334-1573 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064362 | Jordan Skrivanek | Radiology | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-12 |
| 1952892911 | Matthew David Waldrop | Radiology | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2018-05-25 |
| 1861913790 | Colby Jordan Jones | Radiology | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2017-06-30 |
| 1861925745 | Zachary Franks | Radiology | 28050 Grand River Ave, Farmington Hills, MI 48336 | 2017-04-06 |
| 1497103121 | Zophia Isabelle Martinez | Radiology | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2016-06-03 |
| 1831545953 | Michael Legacy | Radiology | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2016-05-07 |
| 1326493065 | Rajeev Srinivasa Aravapalli | Radiology | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2016-05-02 |
| 1083094676 | Alex Robert Martin | Radiology | 28100 Grand River Ave, Ste 313-south, Farmington Hills, MI 48336-5967 | 2015-06-09 |
| 1023378973 | Joshua Martin Similuk | Radiology | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2012-05-25 |
| 1023306594 | Deeshali Shah | Radiology | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2011-07-18 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
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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.