Michael C Lyons, DC
Individual provider Active NPI Rehabilitation Chiropractor · Boardman, OH
NPI 1043376783 · NPPES record last updated Jan 2, 2015
Key facts
- NPI
- 1043376783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Chiropractor 111NR0400X
- License
- 2826 (OH)
- Practice address
- 755 Boardman Canfield Rd Ste P1
Boardman, OH 44512-7325 - Phone
- (330) 726-7404
- Fax
- (330) 729-9166
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Chiropractic and Rehab, Inc.
Practice addresses (Care Compare)
730 N Main St
Hubbard, OH 44425-1126
Phone (330) 707-0979
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090827000136 | OH | Practitioner - Chiropractic | 1456406479 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Chiropractic & Rehab, Inc. | Rehabilitation | Current |
Accepting new patients |
| Advanced Chiropractic and Rahabilitation, LLC | Past | Accepting new patients | |
| Advanced Chiropractic & Rehab, Inc. | Past | Accepting new patients |
Locations
1315 Boardman Canfield Rd
Ste 3
Boardman, OH 44512
730 N Main St
Hubbard, OH 44425
Phone (330) 259-0788
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 2826 | OH | Yes |
Addresses
Primary practice location
755 Boardman Canfield Rd Ste P1
Boardman, OH 44512-7325
Mailing address
P.O. Box 3351
Boardman, OH 44513
Phone (330) 726-7404
Other providers in Boardman, OH
- Vincent Richard Luskin Jr.
- Sarah Luzik
- Sarah Lynch
- Richard Joseph Lynx
- Chris Lyons
- Thomas Donald Macabobby
- Kimberly Anne Macdonald
- Brandon Randall Maceyko
- Robin M Maceyko
- Ryan Michael Maceyko
All providers in Boardman, OH · Rehabilitation Chiropractor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.