Individual provider Active NPI

John L Lyman, MD

  • Emergency Medicine Physician
  • Franklin, OH
National Provider Identifier
1003856667
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35046423 Issued in OH
Practice address
1 Medical Center Dr
Franklin, OH 45005-2584
Phone
(513) 312-3656
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35046423 OH Primary

Addresses

Primary practice location

1 Medical Center Dr
Franklin, OH 45005-2584

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136

Other identifiers 9

IdentifierTypeStateIssuer
000000326508OtherOHBCBS FOR UVMC
000000316956OtherOHBCBS
0536003MedicaidOH
104734195OtherMICHIGAN MEDICAID
104808593MedicaidMI
000000559819OtherOHANTHEM
000000360666OtherOHBCBS
000000377131OtherOHANTHEM
000000493504OtherOHANTHEM/BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040325000442 OH Practitioner - Emergency Medicine 6305738584 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35046423OHMDEmergency Medicine Physician
35046944FOHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince May 16, 2015 Accepting new patients
Fostoria Hospital Association Past Accepting new patients
Community Health Centers of Greater Dayton PastSince Jul 1, 2021 Accepting new patients
Calhoun County Emergency Physicians PC Emergency Medicine Past Accepting new patients
Spfld Urb Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Coastal Carolina Medical Center, Inc Past Accepting new patients
Fairfield Hospitalists Inc Past Accepting new patients
New Century Physicians of Southern Illinois Inc Emergency Medicine Past Accepting new patients
Hilton Head Emergency Physicians, Inc. Emergency Medicine PastSince May 21, 2004 Accepting new patients
West Central Emergency Physicians Emergency Medicine Past Accepting new patients
Middletown Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients
JTDM Family Practice LLC Past Accepting new patients
Lucas County Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Hilton Head Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
New Century Physicians of Western Illinois, Inc Emergency Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Spfld Urb Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Erie Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients
Greenville Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients

Locations

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

500 London Ave
Marysville, OH 43040
Phone (740) 420-8451

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Charles Drew Health CenterDayton, OH, CCN 361941 Federally qualified health center Corporate Director Jul 1, 2021
Corwin Nixon Health CenterDayton, OH, CCN 361942 Federally qualified health center Corporate Director Jul 1, 2021
East Dayton Health CenterDayton, OH, CCN 361943 Federally qualified health center Corporate Director Jul 1, 2021
Alex Central Health CenterMiamisburg, OH, CCN 361026 Federally qualified health center Corporate Director Jul 1, 2021
Kings Highway Dental CenterDayton, OH, CCN 721868 Federally qualified health center Corporate Director Jul 1, 2021
Chambersburg Health CenterHuber Heights, OH, CCN 721942 Federally qualified health center Corporate Director Jul 1, 2021

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1003856667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450052584",
            "telephone_number": "513-312-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYMAN",
        "first_name": "JOHN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35046423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FOR UVMC",
            "identifier": "000000326508",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000316956",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0536003",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN MEDICAID",
            "identifier": "104734195",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104808593",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000559819",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000360666",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000377131",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BCBS",
            "identifier": "000000493504",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, OH

Sources for this page

Verify at the official NPI Registry.