Carolyn B Lyde, MD

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

H0585 Issued in TX

Practice address

324 W Main St
Suite 330
Lewisville, TX 75057

Phone

(972) 436-0358

Fax

(972) 353-3750

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Matthew D Barrows MD PA

  • Dermatology Physician
  • McKinney, TX
  • NPI 1699763490
  Medicare reassignment NPD

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1477594042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W MAIN ST",
            "address_2": "SUITE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573641",
            "telephone_number": "972-436-0358",
            "fax_number": "972-353-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W MAIN ST",
            "address_2": "SUITE 330",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "75057",
            "telephone_number": "972-436-0358",
            "fax_number": "972-353-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDE",
        "first_name": "CAROLYN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "H0585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Thomas Lutz Jr., P.T.
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• Luxottica Retail North America Inc
• Luxottica Retail North America Inc
• Khuong Quoc Ly, RPH
• Lydia Mental Health Services LLC
• Jenae Lysinger
• M Bradley Evans MD PA
• Mabel'S Place
• Macbon Home Health Inc

• Procedural Dermatology Physician in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Procedural Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.