Joseph F Lydon Jr. (NPI# 1598766859, PAC ID# 5698663888) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ADDICTION MEDICINE.
| Nation Provider ID (NPI) | 1598766859 |
| PAC ID by PECOS | 5698663888 |
| Professional Enrollment ID | I20151223000345 |
| Full Name | Joseph F Lydon Jr. |
| Organization Legal Name | GMA CONSULTANTS INC |
| Address |
2863 State Route 45 N Glenbeigh Hsptl Rock Creek OH 44084 |
| Phone Number | 4405633400 |
| Gender | M |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | ADDICTION MEDICINE |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 5890738405 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360037 | ST VINCENT CHARITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2801 C Ct, Ashtabula, OH 44004-4577 | 4409984210 | COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY |
| 2863 State Route 45 N, Glenbeigh Hsptl, Rock Creek, OH 44084 | 4405633400 | GMA CONSULTANTS INC |
| Organization Legal Name | GMA CONSULTANTS INC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna M Sheahan | Nurse Practitioner | Gma Consultants Inc | 2863 State Route 45 N, Glenbeigh Hsptl, Rock Creek, OH 44084 |
| Richard A Zinni | Internal Medicine | Gma Consultants Inc | 2351 E 22nd St, Cleveland, OH 44115-3111 |
| Christopher Lee Adelman | Emergency Medicine | Gma Consultants Inc | 35900 Euclid Ave, Willoughby, OH 44094-4623 |
| Jane Bondi | Physician Assistant | Gma Consultants Inc | 35900 Euclid Ave, Willoughby, OH 44094-4623 |
| Deborah A Punshon | Physician Assistant | Gma Consultants Inc | 35900 Euclid Ave, Willoughby, OH 44094-4623 |
| Roberta Woodman | Nurse Practitioner | Gma Consultants Inc | 2351 E 22nd St, Cleveland, OH 44115-3111 |
| Christina F Walls | Physician Assistant | Gma Consultants Inc | 35900 Euclid Ave, Willoughby, OH 44094-4623 |
| Cheryl Kyle | Nurse Practitioner | Gma Consultants Inc | 20000 Harvard Ave, Warrensville Heights, OH 44122-6805 |
| Billie Murton | Nurse Practitioner | Gma Consultants Inc | 35900 Euclid Ave, Willoughby, OH 44094-4623 |
| William E Goldman | Pediatric Medicine | Gma Consultants Inc | 2863 State Route 45 N, Glenbeigh Hsptl, Rock Creek, OH 44084 |
| Street Address |
2863 STATE ROUTE 45 N GLENBEIGH HSPTL |
| City | ROCK CREEK |
| State | OH |
| Zip | 44084 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna M Sheahan | Nurse Practitioner | Gma Consultants Inc | 2863 State Route 45 N, Glenbeigh Hsptl, Rock Creek, OH 44084 |
| Brahmaiah Tandra | Psychiatry | Ashtabula County Medical Center | 2863 State Route 45 N, Rock Creek, OH 44084-9352 |
| William E Goldman | Pediatric Medicine | Gma Consultants Inc | 2863 State Route 45 N, Glenbeigh Hsptl, Rock Creek, OH 44084 |
| Michael Joseph Primc | Psychiatry | Ashtabula County Medical Center | 2863 State Route 45 N, Rock Creek, OH 44084-9352 |
| Joseph Sitarik | Family Practice | Gma Consultants Inc | 2863 State Route 45 N, Glenbeigh Hsptl, Rock Creek, OH 44084 |
| City | ROCK CREEK |
| Zip Code | 44084 |
| Specialty | ADDICTION MEDICINE |
| City + Specialty | ROCK CREEK + ADDICTION MEDICINE |
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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.