Johnathan Andrew Lyon

Primary specialty

Social WorkerTaxonomy code 104100000X

License

BP00945109 Issued in WV

Practice address

111 S Grove St
Petersburg, WV 26847-1770

Phone

(304) 257-2451

Fax

(304) 257-1263

NPI assigned

Jun 27, 2017

Sex

Male

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 WV

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• E. a. Hawse Health Center, Inc.

  dba Grant Pediatrics and Internal Medicine

  • Federally Qualified Health Center (FQHC)
  • Petersburg, WV
  • NPI 1033347414
  NPD (past)
• E. a. Hawse Health Center, Inc.

  dba Grove Street Pharmacy

  • Community/Retail Pharmacy
  • Petersburg, WV
  • NPI 1598224743
  NPD (past)
• E.a. Hawse Health Center Inc.

  dba Hawse Health Center

  • Federally Qualified Health Center (FQHC)
  • Mathias, WV
  • NPI 1225096027
  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1568982999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "BAKER",
            "state": "WV",
            "postal_code": "268010097",
            "telephone_number": "304-897-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GROVE ST",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471770",
            "telephone_number": "304-257-2451",
            "fax_number": "304-257-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "JOHNATHAN",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00945109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori A Long
• Betty Love
• Karla Ludeker
• Tina Ludwick
• Melody Lusk
• Aaliyah Madsen
• Anil K Makani, MD
• Breanna Malcolm
• Adrianna D Mallatt
• Amy M Martin

• Social Worker in Petersburg, WV
• Providers in Petersburg, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.