Amanda J. Lyon (NPI# 1124465083, PAC ID# 2062712904) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1124465083 |
| PAC ID by PECOS | 2062712904 |
| Professional Enrollment ID | I20190717000415 |
| Full Name | Amanda J. Lyon |
| Organization Legal Name | ST VINCENT MEDICAL GROUP INC |
| Address |
10590 N Meridian St Indianapolis IN 46290-1028 |
| Phone Number | 3173386666 |
| Gender | F |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 7012047640 |
| Number of Group Practice Members | 699 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150084 | ST. VINCENT HOSPITALS AND HEALTH SERVICES |
| 150153 | ST VINCENT HEART CENTER OF INDIANA LLC |
| 150005 | HENDRICKS REGIONAL HEALTH |
| 150181 | ST VINCENT FISHERS HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 10590 N Meridian St, Indianapolis, IN 46290-1028 | 3173386666 | ST VINCENT MEDICAL GROUP INC |
| Organization Legal Name | ST VINCENT MEDICAL GROUP INC |
| Physicians | 702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohamad H Yousef | Gastroenterology | St Vincent Medical Group Inc | 2010 W 86th St, Suite 111, Indianapolis, IN 46260-1930 |
| Stephanie Ann Mason | Nurse Practitioner | St Vincent Medical Group Inc | 8402 Harcourt Rd, Indianapolis, IN 46260-2056 |
| Emily Kelly Koffel | Nurse Practitioner | St Vincent Medical Group Inc | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| Bobbie Nakole Jellison | Family Medicine | St Vincent Medical Group Inc | 8424 Naab Road Bulding, 1 1e, Indianapolis, IN 46260-1954 |
| Jessica Dawn Augenstine | Nurse Practitioner | St Vincent Medical Group Inc | 5629 Lee Rd, Indianapolis, IN 46216-2003 |
| Hannah Rebekah Thornton | Nurse Practitioner | St Vincent Medical Group Inc | 14828 Greyhound Ct, Suite 100, Carmel, IN 46032-5016 |
| John Gary Quiles | Gastroenterology | St Vincent Medical Group Inc | 1515 N Madison Ave, Anderson, IN 46011-3453 |
| Yvette Monique Caviness-kelley | Nurse Practitioner | St Vincent Medical Group Inc | 2155 E Main St, Plainfield, IN 46168-1816 |
| Erin Michelle Watson | Nurse Practitioner | St Vincent Medical Group Inc | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 |
| Winston Adrian Mitchell | Anesthesiology | St Vincent Medical Group Inc | 1600 23rd St, Bedford, IN 47421-4704 |
| Street Address |
10590 N MERIDIAN ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46290-1028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katlyn Lea Rader | Nurse Practitioner | St Vincent Medical Group Inc | 10590 N Meridian St, Indianapolis, IN 46290-1028 |
| Jamie G Courtway | Internal Medicine | St Vincent Medical Group Inc | 10590 N Meridian St, Indianapolis, IN 46290-1028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennie S Kho Duffin | Pathology | Dcl Pathology LLC | 10291 N Meridian St, Suite 100, Indianapolis, IN 46290-1000 |
| Cynthia Carol Benedict | Pathology | Dcl Pathology LLC | 10291 N Meridian St, Suite 100, Indianapolis, IN 46290-1000 |
| Sally D Slowman Middleton | Pathology | Dcl Pathology LLC | 10291 N Meridian St, Suite 100, Indianapolis, IN 46290-1000 |
| Carol C Eisenhut | Pathology | Dcl Pathology LLC | 10291 N Meridian St, Indianapolis, IN 46290-1000 |
| Lori E Dressman | Pathology | Dcl Pathology LLC | 10291 N Meridian St, Indianapolis, IN 46290-1000 |
| Alan M Sadove | Plastic and Reconstructive Surgery | Perkins Van Natta Plastic Surgery, P.C. | 170 W 106th St, Indianapolis, IN 46290-1004 |
| Christine L Kelley Patteson | Plastic and Reconstructive Surgery | Perkins Van Natta Plastic Surgery, P.C. | 170 W 106th St, Indianapolis, IN 46290-1004 |
| Stephen W Perkins | Plastic and Reconstructive Surgery | Perkins Van Natta Plastic Surgery, P.C. | 170 W 106th St, Indianapolis, IN 46290-1004 |
| Bruce W Van Natta | Plastic and Reconstructive Surgery | Perkins Van Natta Plastic Surgery, P.C. | 170 W 106th St, Indianapolis, IN 46290-1004 |
| Richard Burgett | Ophthalmology | Ophthalmic Plastic Surgery Inc | 200 W 103rd St, Suite 2020, Indianapolis, IN 46290-1017 |
| Find all physicians in zip 46290 | |||
| City | INDIANAPOLIS |
| Zip Code | 46290 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | INDIANAPOLIS + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.