Jack A Lyon (NPI# 1265524300, PAC ID# 9032100219) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1265524300 |
| PAC ID by PECOS | 9032100219 |
| Professional Enrollment ID | I20050708000507 |
| Full Name | Jack A Lyon |
| Organization Legal Name | MORRILTON MEDICAL CLINIC, P.A. |
| Address |
10 Hospital Dr Morrilton AR 72110-4510 |
| Phone Number | 5013540052 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2860482130 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 041324 | CHI ST VINCENT MORRILTON |
| 040029 | CONWAY REGIONAL MEDICAL CENTER |
| 040154 | BAPTIST HEALTH MEDICAL CENTER-CONWAY |
| Address | Phone | Organization |
|---|---|---|
| 10 Hospital Dr, Morrilton, AR 72110-4510 | 5013540052 | MORRILTON MEDICAL CLINIC, P.A. |
| Organization Legal Name | MORRILTON MEDICAL CLINIC, P.A. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelly Clifton | Nurse Practitioner | Morrilton Medical Clinic, P.a. | 10 Hospital Dr, Morrilton, AR 72110-4510 |
| Robert J Wilkerson | Internal Medicine | Morrilton Medical Clinic, P.a. | 10 Hospital Dr, Morrilton, AR 72110-4510 |
| Peter J Post | Family Medicine | Morrilton Medical Clinic, P.a. | 10 Hospital Dr, Morrilton, AR 72110-4510 |
| Michael D Koone | Family Medicine | Morrilton Medical Clinic, P.a. | 10 Hospital Dr, Morrilton, AR 72110-4510 |
| Dustin Creech | Family Medicine | Morrilton Medical Clinic, P.a. | 10 Hospital Dr, Morrilton, AR 72110-4510 |
| Lydia C Trauth | Family Medicine | Morrilton Medical Clinic, P.a. | 10 Hospital Dr, Morrilton, AR 72110-4510 |
| Charles Eugene Howard | Family Medicine | Morrilton Medical Clinic, P.a. | 10 Hospital Dr, Morrilton, AR 72110-4510 |
| Kyle Trauth | Family Medicine | Morrilton Medical Clinic, P.a. | 10 Hospital Dr, Morrilton, AR 72110-4510 |
| Street Address |
10 HOSPITAL DR |
| City | MORRILTON |
| State | AR |
| Zip | 72110-4510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander M Berry | Urology | Holyoke Medical Center Inc | 10 Hospital Dr, Suite 203, Holyoke, MA 01040-6643 |
| Andrew S Levin | Internal Medicine | 10 Hospital Dr, Suite 307, Holyoke, MA 01040-6603 | |
| Shelly Clifton | Nurse Practitioner | Morrilton Medical Clinic, P.a. | 10 Hospital Dr, Morrilton, AR 72110-4510 |
| Anna Puzanov | Pathology | Great Falls Pathology, P.a. | 10 Hospital Dr, Bridgton, ME 04009-1148 |
| Christian L Hodach | Anesthesiology | Midwest Anesthesia Providers Sc | 10 Hospital Dr, Saint Peters, MO 63376-1659 |
| Sandeep Hindupur | Interventional Cardiology | Physician Groups Lc | 10 Hospital Dr, Suite 100, Saint Peters, MO 63376-1659 |
| April Thebeau | Internal Medicine | Southeastern Physician Services PC | 10 Hospital Dr, Saint Peters, MO 63376-1659 |
| Peter Morris Gardiner | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 10 Hospital Dr, Saint Peters, MO 63376-1691 |
| Mohammad S Bajwa | Internal Medicine | Holyoke Medical Center Inc | 10 Hospital Dr, Suite 203, Holyoke, MA 01040-6643 |
| Robert J Wilkerson | Internal Medicine | Morrilton Medical Clinic, P.a. | 10 Hospital Dr, Morrilton, AR 72110-4510 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jimmie Magie | Ophthalmology | 810 E Harding St, Morrilton, AR 72110-2250 | |
| William Judd Adams | Optometry | 103 N St Joseph, Morrilton, AR 72110-2915 | |
| William Larry Adams | Optometry | Adams Eye Care Clinic, P.a. | 103 N St Joseph, Morrilton, AR 72110-2915 |
| Ken H Sowers | Chiropractic | 112 E Commerce St, Morrilton, AR 72110-2921 | |
| Amy R Thurman | Nurse Practitioner | St Anthonys Hospital Association | 1711 E Harding St, Chi St Vincent Primary Care, Morrilton, AR 72110-4507 |
| Cammie G Price | Nurse Practitioner | St Anthonys Hospital Association | 1711 E Harding St, Chi St Vincent Primary Care, Morrilton, AR 72110-4507 |
| Keith M Lipsmeyer | Family Medicine | St Anthonys Hospital Association | 1711 E Harding St, Chi St Vincent Primary Care, Morrilton, AR 72110-4507 |
| Clark Trapp | Family Medicine | St Anthonys Hospital Association | 1711 E Harding St, Chi St Vincent Primary Care, Morrilton, AR 72110-4507 |
| Laura L Gottsponer | Clinical Social Worker | Counseling Associates Inc | 8 Hospital Dr, Morrilton, AR 72110-4510 |
| Deborah Wilmoth | Certified Registered Nurse Anesthetist (crna) | Southern Regional Anesthesiology Consultants Pllc | 4 Hospital Dr, Morrilton, AR 72110-4510 |
| Find all physicians in zip 72110 | |||
| City | MORRILTON |
| Zip Code | 72110 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MORRILTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jack A Lyon.
| 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.