Robert Charles Lyell, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G76911 Issued in CA

Practice address

3798 Janes Road
Suite 9
Arcata, CA 95521-4745

Phone

(707) 826-7080

Fax

(707) 826-7119

NPI assigned

Sep 20, 2006

Last updated

Dec 17, 2007By the provider in NPPES

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

Enrolled in CA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Pacific Cardiology Medical

  • Internal Medicine Physician
  • Arcata, CA
  • NPI 1093821837
  Medicare reassignment NPD
• North Coast Podiatry

  • Podiatric Clinic/Center
  • Arcata, CA
  • NPI 1861058737
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1487751749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3798 JANES ROAD",
            "address_2": "SUITE 9",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214745",
            "telephone_number": "707-826-7080",
            "fax_number": "707-826-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3798 JANES ROAD",
            "address_2": "SUITE 9",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214745",
            "telephone_number": "707-826-7080",
            "fax_number": "707-826-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYELL",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G76911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G769110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Lowder, LCSW
• Caryn Jane Lowe, MSW
• Caroline Lowry, PA
• Jessica Loya, NBC-HWC
• Diana Rae Lubitz, LCSW
• Bonnie D. Macevoy, MD
• Madison Macgregor, PT, DPT, MS
• Chandler Macik, ACSW
• Mad River Community Anesthesia Medical Group
• Kate Maguire

• Orthopaedic Surgery Physician in Arcata, CA
• Providers in Arcata, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.