Lyudmyla Lysenko, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MT189495 Issued in PA

Practice address

1600 Wallace Blvd
Amarillo, TX 79106-1799

Phone

(817) 451-4208

Fax

(817) 563-3699

NPI assigned

May 3, 2007

Last updated

Apr 28, 2017By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: llysenko84514@ahs.direct-ci.com

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1639391089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 RIDGLEA PL",
            "address_2": "SUITE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165704",
            "telephone_number": "817-451-4208",
            "fax_number": "817-563-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061799",
            "telephone_number": "817-451-4208",
            "fax_number": "817-563-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSENKO",
        "first_name": "LYUDMYLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT189495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coltin Aubry Lynch, RBT
• Sandra Grace Lynch, RN
• John F Lyne, CRNA
• Cassie Lyon, MED
• Lewis C Lyons, MD.
• M Squared Inc
• M. Elizabeth Archer MD PA (Archer Dermatology)
• Taghreed N Maaytah, M.D.
• Kayla Mabery, FNP-C
• Bonny A Macfarlane, M.D.

• Emergency Medicine Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.