Lurton B Lyle, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101016773 Issued in VA

Practice address

364 Hospital Dr
Clintwood, VA 24228

Phone

(276) 926-0200

Fax

(276) 926-6675

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Dickenson County Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clintwood, VA
  • NPI 1649209990
  NPD
• Emcare Physician Providers Inc.

  • Emergency Medicine Physician
  • Clintwood, VA
  • NPI 1891706008
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1912938192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 HOSPITAL DR",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "24228",
            "telephone_number": "276-926-0200",
            "fax_number": "276-926-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 HOSPITAL DR",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "24228",
            "telephone_number": "276-926-0200",
            "fax_number": "276-926-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYLE",
        "first_name": "LURTON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101016773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010203848",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912938192",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Starla Kiser, M.D.
• Christy Jolene Lambert, PMHNP
• Jennifer Lester, FNP
• Loleatta B. Linkous
• Shannon Howard Looney
• Timothy Patrick McCarty, PHARMD
• Amy Meade, PHARMD
• Samir Samuel Missak, MD
• Momentum Recovery Virginia LLC
• Mountain States Health Alliance

• Family Medicine Physician in Clintwood, VA
• Providers in Clintwood, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.