Gary S. Lytle, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

C10004478 Issued in DE

Practice address

Nemours Pediatrics Middletown
200 Cleaver Farm Road Suite 201
Middletown, DE 19709-1630

Phone

(302) 378-5100

Fax

(302) 378-5106

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1760573141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "address_2": "PROVIDER ENROLLMENT DEPT",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "302-651-6212",
            "fax_number": "302-651-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEMOURS PEDIATRICS MIDDLETOWN",
            "address_2": "200 CLEAVER FARM ROAD SUITE 201",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091630",
            "telephone_number": "302-378-5100",
            "fax_number": "302-378-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTLE",
        "first_name": "GARY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C10004478",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DE",
            "license": "C10004478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1505878",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2140918",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6135901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Lynn Lorden
• Laura M Lundgren, M.D.
• Christina Michelle Lynch, CNM
• Debra Ann Lynch, GNP
• William Ray Lynch Jr., M.D.
• Erin Macfadyen, BSN,RN
• Maggie Magpie Inc (Maggie Magpie)
• Main Street Chiro LLC (Main Street Chiropractic)
• Main Street Chiropractic
• Kristen Paige Malin, DPT

• General Practice Physician in Middletown, DE
• Providers in Middletown, DE by specialty
• General Practice Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.