Emily Lyons
Individual provider Active NPI Physician Assistant · Youngstown, OH
NPI 1124667787 · NPPES record last updated Dec 15, 2023
Key facts
- NPI
- 1124667787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 50.006141RX (OH)
- Practice address
- 8591 Crossroads Drive
Youngstown, OH 44514 - Phone
- (330) 758-0577
- Fax
- (330) 758-0466
- NPI assigned
- Dec 31, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Youngstown Orthopaedic Associates LTD
Practice addresses (Care Compare)
6470 Tippecanoe Rd
Canfield, OH 44406-7036
Phone (330) 758-0577
Hospital & facility affiliations
- Surgical Hospital at Southwoods
- HMHP St Elizabeth Boardman Health Center
- MH St Elizabeth Youngstown Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.01 of 100
- Quality
- 64.72
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200305001824 | PA | Practitioner - Physician Assistant | 5395172258 | Reassigns benefits to 2 organizations |
| I20220505002455 | OH | Practitioner - Physician Assistant | 5395172258 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA005146 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Community Medcine Inc | Current |
Accepting new patients | |
| Upmc Community Medicine Inc | Current |
Accepting new patients | |
| Youngstown Orthopaedic Associates LTD | Past | Accepting new patients |
Locations
44 Circle St
Franklin, PA 16323
Phone (814) 437-2191
2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203
339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OA005146 | PA | |
| Physician Assistant | 363A00000X | 50.006141RX | OH | Yes |
Addresses
Primary practice location
8591 Crossroads Drive
Youngstown, OH 44514
Mailing address
8591 Crossroads Drive
Youngstown, OH 44514
Phone (330) 758-0577
Other practice location 1
1695 Niles Cortland Rd NE
Warren, OH 44484-1165
Phone (330) 758-0577
NPI Registry JSON
{
"created_epoch": "1577750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1124667787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8591 CROSSROADS DRIVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "44514",
"telephone_number": "330-758-0577",
"fax_number": "330-758-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8591 CROSSROADS DRIVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "44514",
"telephone_number": "330-758-0577",
"fax_number": "330-758-0466"
}
],
"practiceLocations": [
{
"address_1": "1695 Niles Cortland Rd NE",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "OH",
"postal_code": "444841165",
"country_code": "US",
"telephone_number": "330-758-0577",
"fax_number": "330-758-0466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYONS",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-31",
"last_updated": "2023-12-15",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA005146",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.006141RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
- Clinton Lynch
- Todd Ryan Lynch
- Lasoneya Lynk
- Lynn Davis PT, Inc.
- Tracey Lynn
- Kraig Lyons
- Susan M Lyons
- Louis Sozon Lyras
- Jade Lytle
- M D Associates Inc
All providers in Youngstown, OH · Physician Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2023. 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.
- Order and Referring (CMS).
- 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.