Kevin J Lythgoe MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

21855 Issued in AZ

Legal business name

KEVIN J LYTHGOE MD PC

Practice address

530 E Thomas Rd
Phoenix, AZ 85012-3204

Phone

(602) 351-2229

Fax

(602) 351-1500

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Kevin J Lythgoe, MD

Title

President

Phone

(602) 351-2229

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1902910557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123204",
            "telephone_number": "602-351-2229",
            "fax_number": "602-351-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123204",
            "telephone_number": "602-351-2229",
            "fax_number": "602-351-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN J LYTHGOE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "LYTHGOE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-351-2229",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "21855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3372334",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "1Z1309",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198433",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CHOICE",
            "identifier": "4198433",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0860720",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY CARE PLAN",
            "identifier": "POB13LYTHKE1",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kethcart Sleep LLC (Central Phoenix Center for TMJ, Pain & Sleep Disorders)
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• Kristoffer J Keul, LAC (LICENSED ASSOCI
• Katherine Keuth, LAMFT
• Angie Buono Kevane, RDH, BSDH
• Kevin J Ortale DDS
• Kevin L Olena Crna, PLLC
• Kevin M. Lassiter, PLLC
• Kevin T. Axx DDS, PLLC
• Key Health LLC

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.