Active NPI
Vicki J Lyons MD PC
- Allergy Physician
- Ogden, UT
National Provider Identifier
1780716563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 272784-1205
- Legal business name
- VICKI J LYONS MD PC
- Practice address
- 4403 Harrison Blvd
Suite 4640
Ogden, UT 84403-3271 - Phone
- (801) 387-4850
- Fax
- (801) 387-4855
- NPI assigned
- Mar 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vicki J Lyons, M.D.
- Title
- Owner
- Phone
- (801) 387-4850
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 272784-1205 | UT | Primary |
Addresses
Primary practice location
4403 Harrison Blvd
Suite 4640
Ogden, UT 84403-3271
Mailing address
4403 Harrison Blvd
Suite 4640
Ogden, UT 84403-3271
Phone (801) 387-4850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA3586 | Other | UT | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
425 E 5350 S
Ste 110
Ogden, UT 84405
Phone (801) 476-0052
4403 Harrison Blvd
Ste 464
Ogden, UT 84403
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy Physician
- Ogden, UT
- NPI 1326013574
-
- Nurse Practitioner
- Ogden, UT
- NPI 1427701739
-
- Allergy Physician
- Ogden, UT
- NPI 1023012911
-
- Specialist
- Salt Lake City, UT
- NPI 1083608095
-
- Family Nurse Practitioner
- Ogden, UT
- NPI 1306473368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444953600000",
"number": "1780716563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4403 HARRISON BLVD",
"address_2": "SUITE 4640",
"city": "OGDEN",
"state": "UT",
"postal_code": "844033271",
"telephone_number": "801-387-4850",
"fax_number": "801-387-4855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 HARRISON BLVD",
"address_2": "SUITE 4640",
"city": "OGDEN",
"state": "UT",
"postal_code": "844033271",
"telephone_number": "801-387-4850",
"fax_number": "801-387-4855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICKI J LYONS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2015-10-16",
"status": "A",
"authorized_official_last_name": "LYONS",
"authorized_official_first_name": "VICKI",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-387-4850",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": "UT",
"license": "272784-1205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DA3586",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.