Ralph Lyon, DO
Individual provider Active NPI Emergency Medicine Physician · Upper Sandusky, OH
NPI 1740207372 · NPPES record last updated Mar 4, 2008
Key facts
- NPI
- 1740207372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 03057 (OH)
- Practice address
- 885 N Sandusky Ave
Upper Sandusky, OH 43351-1031 - Phone
- (419) 294-4991
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03057 | OH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Ohio Inc | Emergency Medicine | Past | Accepting new patients |
| FCHC Medical Care, LLC | Past | Accepting new patients | |
| Nes Ohio Inc | Emergency Medicine | Past | Accepting new patients |
| Tiffin Emergency Services, LLC | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 03057 | OH | Yes |
Addresses
Primary practice location
885 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Mailing address
2356 Quaker Rd
Bucyrus, OH 44820-9799
Phone (419) 562-1148
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0431250 | Medicaid | OH |
Other providers in Upper Sandusky, OH
- James E Lassiter
- Chelsea Lauren Lease
- Erika Lyn Leppla
- Tejas B Lodhawala
- Betty Jean Lok
- Liberty Mahaffey
- Mid Ohio Chiropractic Inc
- Midwest Eye Consultants Ohio, Inc
- Janine Louise Miller-Delany
- Jacqueline Miranda
All providers in Upper Sandusky, OH · Emergency Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.