Lyle G. Henry MD SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

18454 Issued in WI

Legal business name

LYLE G. HENRY MD SC

Practice address

2015 E Newport Ave Ste 305
Milwaukee, WI 53211-2949

Phone

(414) 961-2120

Fax

(414) 961-0335

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lyle Gene Henry, MD

Title

President

Phone

(414) 961-2120

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1063611820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE STE 305",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112949",
            "telephone_number": "414-961-2120",
            "fax_number": "414-961-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE STE 305",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112949",
            "telephone_number": "414-961-2120",
            "fax_number": "414-961-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYLE G. HENRY MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-961-2120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WI",
            "license": "18454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30888100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa J Lydecker, PT
• Dale James Lye, M.D.
• Patricia S Lye, MD
• Lyl Community Services LLC
• Lylas Helping Hands
• Amelia Lyman
• Douglas R Lyman, PHD
• Gavin Alexander Lynch, MD
• Jennifer Lynn Lynch, LPC
• John Roborg Lynch, MD

• Surgery Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.