Lyons Huber Anesthesia a Medical Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

LYONS HUBER ANESTHESIA A MEDICAL CORPORATION

Practice address

10 Woodland Rd
Saint Helena, CA 94574-9554

Phone

(209) 956-7732

NPI assigned

Jan 25, 2007

Last updated

Jan 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Charles Lyons, MDNPI 1417909359

Title

Group President

Phone

(209) 956-7732

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy C Lyons, MD

  • Anesthesiology Physician
  • Saint Helena, CA
  • NPI 1417909359
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer L Dietrich, MD

  • Anesthesiology Physician
  • Saint Helena, CA
  • NPI 1871751628
  Medicare reassignment Care Compare group NPD
• Daniel G Huber, MD

  • Anesthesiology Physician
  • Saint Helena, CA
  • NPI 1376595116
  Medicare reassignment Care Compare group NPD
• Nitesh S Mody, DO

  • Critical Care Medicine (Anesthesiology) Physician
  • Napa, CA
  • NPI 1952609828
  Medicare reassignment Care Compare group NPD
• Angela L Henszel, M.D.

  • Anesthesiology Physician
  • Yuba City, CA
  • NPI 1902863194
  Medicare reassignment NPD
• Dylan Hunter, MD

  • Anesthesiology Physician
  • Fairfield, CA
  • NPI 1043700503
  Medicare reassignment NPD
• Marya Eileen Leahy, M.D.

  • Anesthesiology Physician
  • Saint Helena, CA
  • NPI 1598056715
  Medicare reassignment NPD
• Victor Adam Perkins, D.O.

  • Anesthesiology Physician
  • Manhasset, NY
  • NPI 1215279930

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1619022852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WOODLAND RD",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749554",
            "telephone_number": "209-956-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYONS HUBER ANESTHESIA A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "GROUP PRESIDENT",
        "authorized_official_telephone_number": "209-956-7732",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0104900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ69273Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James E Lies, M.D.
• Jessica Lauren Lim, OTR/L
• Beth Lincoln, NP
• Terri A Linder, M.S.
• Lorin Cook, D.D.S.
• Timothy C Lyons, MD
• Dustin Manwill
• Padmaja Manyam, M.D.
• Paul J Marks, MD
• Ashley Marsh, PA-C

• Anesthesiology Physician in Saint Helena, CA
• Providers in Saint Helena, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.