Kathleen Jane Lyssy MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KATHLEEN JANE LYSSY MD PA

Practice address

6100 Bandera Road
Suite 403
San Antonio, TX 78238-1653

Phone

(210) 256-9500

Fax

(210) 256-8720

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa K Souhrada

Title

Office Manager

Phone

(210) 256-9500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Kathleen Jane Lyssy MD Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Jane Lyssy, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1831182005
  NPD

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1508069840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BANDERA ROAD",
            "address_2": "SUITE 403",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381653",
            "telephone_number": "210-256-9500",
            "fax_number": "210-256-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 BANDERA ROAD",
            "address_2": "SUITE 403",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381653",
            "telephone_number": "210-256-9500",
            "fax_number": "210-256-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN JANE LYSSY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "SOUHRADA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-256-9500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "00Z061",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "00Z061",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Kathleen Jane Lyssy MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David Katerndahl, MD
• Charmaine Marie Kathen, NNP
• Katherine Cornforth MD - OBGYN PLLC
• Kathia a. Ortiz-Cantillo MD PA
• Kathleen G. Halka, M.D., P.a.
• Kathleen Torres, DDS, PLLC
• Kathryn a. Wagner, MD, PA
• Olanike Katibi, APRN-FNP
• Kyle Labit Katigbak
• Bhoja R. Katipally, MD, MPH

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.