Individual provider Active NPI

Emily Lyons

  • Physician Assistant
  • Youngstown, OH
National Provider Identifier
1124667787
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006141RX Issued in OH
Practice address
8591 Crossroads Drive
Youngstown, OH 44514
Phone
(330) 758-0577
Fax
(330) 758-0466
NPI assigned
Dec 31, 2019
Last updated
Dec 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA005146 PA
Physician Assistant 363A00000X 50.006141RX OH Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200305001824 PA Practitioner - Physician Assistant 5395172258 Reassigns benefits to 2 organizations
I20220505002455 OH Practitioner - Physician Assistant 5395172258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youngstown Orthopaedic Associates LTDGroup PAC ID 4587559562, 37 clinicians

Practice addresses (Care Compare)

6470 Tippecanoe Rd
Canfield, OH 44406-7036
Phone (330) 758-0577

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.01 of 100Reported as group
Quality
64.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.006141RXOHMDPhysician Assistant
OA005146PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Jan 21, 2020 Accepting new patients
Upmc Community Medicine Inc CurrentSince Jan 21, 2020 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

Organizations & group practices 6

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.