Edd Gilbert Lyon, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

42-6255 Issued in VT

Practice address

1068 Vail Rd
Bennington, VT 05201-9599

Phone

(802) 447-0051

NPI assigned

May 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Southwestern Vermont Medical Center Inc.

  • General Acute Care Hospital
  • Bennington, VT
  • NPI 1205865789
  NPD (past)
• Synchrosaic LLC

  • Psychologist
  • Williston, VT
  • NPI 1326401670
  NPD (past)
• Emergency and Acute Care Medical Company - Northeast, Inc.

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1134339906
  NPD (past)
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1184673113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 VAIL RD",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052019599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 VAIL RD",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052019599",
            "telephone_number": "802-447-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "EDD",
        "middle_name": "GILBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "42-6255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002387",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dedrick Spencer Luikens, D.O.
• Martin R Luloff, M.D.
• Thomas R Lusa, RN.MS
• Leeann Lykstad
• Catherine Palmer Lyndaker, MD
• James Macgregor, M.D
• Karin F Mack, M.D.
• Thomas E. Macksey, DMD
• Carolina Macquarrie, PT, ATC
• Alison Malmborg, NP

• Family Medicine Physician in Bennington, VT
• Providers in Bennington, VT by specialty
• Family Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.