Henry R P Lyle, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

52342 Issued in MA

Practice address

275 Varnum Ave
Lowell, MA 01854-2141

Phone

(978) 452-9700

Fax

(978) 441-6075

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

No

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

Locations

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.

• Riverside Medical Group PC

  • Internal Medicine Physician
  • Lowell, MA
  • NPI 1508821646

  Cardiovascular Disease

  NPD
• Premier Diagnostic Services, Inc

  • Sonography Radiologic Technologist
  • Stoughton, MA
  • NPI 1659377802
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1194787192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542141",
            "telephone_number": "978-452-9700",
            "fax_number": "978-441-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542141",
            "telephone_number": "978-452-9700",
            "fax_number": "978-441-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYLE",
        "first_name": "HENRY",
        "middle_name": "R P",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "52342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3105482",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chifunilo Lungu
• Talia Yocheved Lusterman, OTR/L
• Luxottica of America Inc
• Jacquiline Namata Lwebuga
• Chardai Lyde, DMD
• Jeffrey John Lyman, M.ED
• Callie E Lynch
• Andrea M Lyons
• Cori Marie Lyons
• Elizabeth Jean Lyons, M.S.

• Cardiovascular Disease Physician in Lowell, MA
• Providers in Lowell, MA by specialty
• Cardiovascular Disease Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.