Dana J Distler, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

28883 Issued in KY

Practice address

301 Middletown Park PL
Suite C
Louisville, KY 40243-2515

Phone

(502) 244-9858

NPI assigned

Dec 27, 2005

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

Other names 1

• Dr. Dana J Lyons Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dana.distler@mipeds.directbygreenway.com

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.

• Middletown Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Louisville, KY
  • NPI 1164645834
  NPD (past) Authorized official

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1700863230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MIDDLETOWN PARK PL",
            "address_2": "SUITE C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432515",
            "telephone_number": "502-244-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MIDDLETOWN PARK PL",
            "address_2": "SUITE C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432515",
            "telephone_number": "502-244-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISTLER",
        "first_name": "DANA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "KY",
            "license": "28883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "LYONS",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "M.D,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dispatchhealth-Idaho PC
• Derek Disponette
• Distler Family Dentistry PLLC (Distler Family Dentistry)
• Anthony Distler, DMD
• Christopher Distler, DPT
• Distler, Huntington & Blair PSC (Bluegrass Eye Center)
• Mark W Distler, M.D.
• Walter David Distler, DMD
• Kathleen Ann Dively, ARNP
• Diversicare Highlands, LLC (Highlands Health and Rehabilitation Center)

• Pediatric Adolescent Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Pediatric Adolescent Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.