Susan J Lyons, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50001072 Issued in OH

Practice address

1343 N Fountain Blvd
Springfield, OH 45504-1422

Phone

(937) 390-5000

Fax

(937) 390-5526

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• FL-I Medical Services LLC

  • Physician Assistant
  • Haines City, FL
  • NPI 1285356790

  Emergency Medicine

  NPD
• FL-I Medical Services, LLC

  • Emergency Medicine Physician
  • Gainesville, FL
  • NPI 1871155887
  NPD
• Highland Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Hillsboro, OH
  • NPI 1376542100
  NPD (past)
• Marion General Hospital Foundation, Inc.

  • Emergency Medicine Physician
  • Marion, OH
  • NPI 1134114077
  NPD (past)
• Marion Physician Billing LLC

  • Emergency Medicine Physician
  • Marion, OH
  • NPI 1013247568
  NPD (past)
• Spfld Urb Emergency Physicians Inc

  • Emergency Medicine Physician
  • Urbana, OH
  • NPI 1407858871
  NPD (past)
• Spfld Urb Emergency Physicians Inc

  • Emergency Medicine Physician
  • Springfield, OH
  • NPI 1679574552
  NPD (past)
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Punta Gorda, FL
  • NPI 1376592063
  NPD (past)
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Lehigh Acres, FL
  • NPI 1619926235
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1366494833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N FOUNTAIN BLVD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041422",
            "telephone_number": "937-390-5000",
            "fax_number": "937-390-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001072",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "50 001072",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL  ROAD MEDICARE",
            "identifier": "P00054487",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Luttmer
• Maria R Luttrell, LSWK
• Daniel Joseph Lynch, DC
• Mikayla Lyons, APRN
• Patricia Ann Lyons, LPN
• Darryl Leo Mabra, DDS
• Deanna A Mabra, STNA
• Carlos Macias
• Shari Lynn Macswain, R.PH.
• Mad River Township

• Physician Assistant in Springfield, OH
• Providers in Springfield, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.