Clarence Franklin Lyons Jr., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02947 Issued in KY

Practice address

33 Short RDG
Olive Hill, KY 41164-8313

Phone

(606) 286-5065

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in KY

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 Osteopathy

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.

• CG Medical Associates Inc

  • Urgent Care Clinic/Center
  • Cincinnati, OH
  • NPI 1982903951

  Family Medicine

  NPD (past)
• Mindgent Healthcare Clinics, LLC

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1598716524
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1497735591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 E TOM T HALL BLVD",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "411647040",
            "telephone_number": "606-286-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SHORT RDG",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "411648313",
            "telephone_number": "606-286-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "CLARENCE",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.008635",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100007590",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Sue Lewis, SCHOOL COUNSLOR
• Little Sandy District Health Department
• Little Sandy District Health Department
• Little Sandy District Health Department
• Little Sandy District Health Department
• Elizabeth L Matera, MD
• Richard Wayne McCrocklin, RPH
• Carolyn Moore, MD
• Brittany Muse
• William Neice, PTA

• Family Medicine Physician in Olive Hill, KY
• Providers in Olive Hill, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.