Michael Lynn Lemon (NPI# 1558529222, PAC ID# 5092962860) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1558529222 |
| PAC ID by PECOS | 5092962860 |
| Professional Enrollment ID | I20130827000138 |
| Full Name | Michael Lynn Lemon |
| Organization Legal Name | BURN AND RECONSTRUCTIVE CENTERS OF IDAHO PLLC |
| Address |
3100 Channing Way Idaho Falls ID 83404-7533 |
| Phone Number | 7068639595 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0042551244 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130018 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3651 Wheeler Rd, Augusta, GA 30909-6521 | 7068639595 | BURN AND RECONSTRUCTIVE CENTERS OF IDAHO PLLC |
| 3675 J Dewey Gray Cir, Suite 300, Augusta, GA 30909-1868 | 7068639595 | BURN AND RECONSTRUCTIVE CENTERS OF IDAHO PLLC |
| 3100 Channing Way, Idaho Falls, ID 83404-7533 | 7068639595 | BURN AND RECONSTRUCTIVE CENTERS OF IDAHO PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | BURN AND RECONSTRUCTIVE CENTERS OF IDAHO PLLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Chase Cook | Nurse Practitioner | Burn and Reconstructive Centers of Idaho Pllc | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
| Tait Dell Olaveson | General Surgery | Burn and Reconstructive Centers of Idaho Pllc | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
| Joshua Summers | General Surgery | Burn and Reconstructive Centers of Idaho Pllc | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
| Nicholas Bradford Johnson | Plastic and Reconstructive Surgery | Burn and Reconstructive Centers of Idaho Pllc | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
| Tony D Quinton | Podiatry | Burn and Reconstructive Centers of Idaho Pllc | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
| Adam Michael Mabry | Physician Assistant | Burn and Reconstructive Centers of Idaho Pllc | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
| Street Address |
3100 CHANNING WAY |
| City | IDAHO FALLS |
| State | ID |
| Zip | 83404-7533 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reed D Loertscher | Certified Registered Nurse Anesthetist (crna) | Intermountain Anesthesia Pa | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
| Lara K Knowles | Certified Registered Nurse Anesthetist (crna) | Intermountain Anesthesia Pa | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
| Sean D Anderson | Physical Medicine and Rehabilitation | Eirmc Hospitalist Services LLC | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
| Mikael B Crapo | Certified Registered Nurse Anesthetist (crna) | Intermountain Anesthesia Pa | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
| Matt Tannenbaum | Pathology | Pathology Associates of Idaho Falls | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
| Shawn Douglas Speirs | Internal Medicine | 3100 Channing Way, Idaho Falls, ID 83404-7533 | |
| Steven Chase Cook | Nurse Practitioner | Burn and Reconstructive Centers of Idaho Pllc | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
| Marc E Murphy | Anesthesiology | Intermountain Anesthesia Pa | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
| Jay M Tingey | Anesthesiology | Intermountain Anesthesia Pa | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
| Clark Rainey Daines | Pathology | Pathology Associates of Idaho Falls | 3100 Channing Way, Idaho Falls, ID 83404-7533 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Ann Sharp-marsden | Nurse Practitioner | 1680 Elk Creek Dr, Idaho Falls, ID 83404-1225 | |
| Lisa Hong | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brent Kennedy | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Heidi Duran | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Rebecca L Butikofer | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kristan Bullock | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Dawn Taylor | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brenda Padron | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kimberly Stowell | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Michael Anderson | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Find all physicians in zip 83404 | |||
| City | IDAHO FALLS |
| Zip Code | 83404 |
| Specialty | GENERAL SURGERY |
| City + Specialty | IDAHO FALLS + GENERAL SURGERY |
Please comment or provide details below to improve the information on Michael Lynn Lemon.
| 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.