Active NPI
Vimalesh Lysander, M.D.
- Emergency Medicine Physician
- Nelsonville, OH
National Provider Identifier
1629048244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35-06-2837-L
- Practice address
- 1950 Mount Saint Marys Dr
Nelsonville, OH 45764-1280 - Phone
- (740) 753-1931
- Fax
- (740) 753-3177
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35-06-2837-L | OH | Primary |
Addresses
Primary practice location
1950 Mount Saint Marys Dr
Nelsonville, OH 45764-1280
Mailing address
PO Box 65274
Charlotte, NC 28265-0274
Phone (800) 377-8721
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0893298 | Medicaid | OH | |
| 5619197341A48 | Other | OH | BLUECROSS BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Ohio, Inc. | Emergency Medicine | Past | Accepting new patients |
| Nes Ohio, Inc. | Emergency Medicine | Past | Accepting new patients |
| Nes Ohio Inc | Emergency Medicine | Past | Accepting new patients |
| Madison Emergency Physicians Inc | Emergency Medicine | Past | Accepting new patients |
| Nes Ohio Inc | Emergency Medicine | Past | Accepting new patients |
| Nes Ohio, Inc. | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- London, OH
- NPI 1720089766
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1629048244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 65274",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282650274",
"telephone_number": "800-377-8721",
"fax_number": "304-523-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 MOUNT SAINT MARYS DR",
"city": "NELSONVILLE",
"state": "OH",
"postal_code": "457641280",
"telephone_number": "740-753-1931",
"fax_number": "740-753-3177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYSANDER",
"first_name": "VIMALESH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35-06-2837-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0893298",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "5619197341A48",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nelsonville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.