Lydia Karlyn Marsham, PA - C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9103622 Issued in FL

Practice address

1349 S International Pkwy Ste 1411
Lake Mary, FL 32746-1698

Phone

(407) 333-3360

Fax

(855) 699-6808

NPI assigned

Nov 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ayesha Ahmar MD and AssociatesGroup PAC ID 4981949955, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
• Orlando Health Hospital, Orlando, FL, CCN 100006

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: lydia.marsham.1@18585.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/fhir/r4/

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.

• Ayesha Ahmar MD and Associates

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1881179828
  Medicare reassignment Care Compare group NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  Care Compare affiliation

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1053655878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 S INTERNATIONAL PKWY STE 1411",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461698",
            "telephone_number": "407-333-3360",
            "fax_number": "855-699-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S INTERNATIONAL PKWY STE 1411",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461698",
            "telephone_number": "407-333-3360",
            "fax_number": "855-699-6808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 E Altamonte Dr Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327014653",
            "country_code": "US",
            "telephone_number": "407-767-0009",
            "fax_number": "407-767-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHAM",
        "first_name": "LYDIA",
        "middle_name": "KARLYN",
        "name_prefix": "Mrs.",
        "credential": "PA - C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jhoana Mariano, PT
• Marie NP Services, LLC
• Meghan Deanna Markman, P.T.A.
• David John Marok
• Jamie Marques, ARNP
• Alesie Martel
• Leif Artur Martensson, D.C.
• Luz S Marti, OTR
• Martin a Kansol OD
• Cassandra Martin Lewis

• Medical Physician Assistant in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.