Charles R Lyon (NPI# 1841388253, PAC ID# 9739121005) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1841388253 |
| PAC ID by PECOS | 9739121005 |
| Professional Enrollment ID | I20050527000633 |
| Full Name | Charles R Lyon |
| Organization Legal Name | BROOKS LYON AND BROOKS DO PC |
| Address |
309 Ecorse Rd Ypsilanti MI 48198-5733 |
| Phone Number | 7344840580 |
| Gender | M |
| Credential | DO |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1965 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3678572690 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230156 | ST JOSEPH MERCY HOSPITAL |
| 230046 | UNIVERSITY OF MICHIGAN HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 309 Ecorse Rd, Ypsilanti, MI 48198-5733 | 7344840580 | BROOKS LYON AND BROOKS DO PC |
| Organization Legal Name | BROOKS LYON AND BROOKS DO PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert David Brooks | Family Medicine | Brooks Lyon and Brooks Do PC | 309 Ecorse Rd, Ypsilanti, MI 48198-5733 |
| Street Address |
309 ECORSE RD |
| City | YPSILANTI |
| State | MI |
| Zip | 48198-5733 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert David Brooks | Family Medicine | Brooks Lyon and Brooks Do PC | 309 Ecorse Rd, Ypsilanti, MI 48198-5733 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Sue Storie | Clinical Social Worker | 555 Hunt Pl, Ypsilanti, MI 48198-3922 | |
| Kenneth Michael Pearson | Chiropractic | 324 Miles St, Ypsilanti, MI 48198-4000 | |
| Shahida H Khan | Internal Medicine | 428 S Grove Dr, Ypsilanti, MI 48198-5662 | |
| Kelly A Hammill | Nurse Practitioner | County of Washtenaw | 555 Towner St, Ypsilanti, MI 48198-5723 |
| Martha F Young | Nurse Practitioner | County of Washtenaw | 555 Towner St, Ypsilanti, MI 48198-5723 |
| Muhammad Tayyab | Internal Medicine | 505 Tyler Rd, Ypsilanti, MI 48198-5738 | |
| Daniel M Mayman | Psychiatry | County of Washtenaw | 555 Towner St, Ypsilanti, MI 48198-5752 |
| Kaila A Queen | Family Medicine | Packard Health Inc | 200 Arnet St, Suite 150, Ypsilanti, MI 48198-5753 |
| Vincent D Dinick | Plastic and Reconstructive Surgery | 200 Arnet St, Suite 180, Ypsilanti, MI 48198-5753 | |
| Niyati B Shah | Family Medicine | Packard Health Inc | 200 Arnet St, Suite 150, Ypsilanti, MI 48198-5753 |
| Find all physicians in zip 48198 | |||
| City | YPSILANTI |
| Zip Code | 48198 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | YPSILANTI + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charles R 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.