EARL C LYSAKER


Address: 1397 Medical Park Blvd., # 340, Wellington, FL 33414
Phone: 5617952008

EARL C LYSAKER (NPI# 1104870831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104870831
Entity Type Individual
Full Name EARL C LYSAKER
Credential MD
Practice Address 1397 Medical Park Blvd.
# 340
Wellington
FL 33414
Mailing Address 5700 Lake Worth Rd
#204
Greenacres
FL 33463-4727
Practice Telephone 5617952008
Practice Fax Number 5617954214
Mailing Telephone 5619687968
Mailing Fax Number 5619644603
Enumeration Date 2006-05-19
Last Update Date 2007-10-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine MEA5381 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 1397 MEDICAL PARK BLVD.
# 340
City WELLINGTON
State FL
Zip Code 33414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538192323 Felix Andarsio Jr. Obstetrics & Gynecology 1397 Medical Park Blvd., Suite 440, Wellington, FL 33414-6108 2006-07-08
1841245511 Robert D. Rubin Internal Medicine 1397 Medical Park Blvd., # 300, Wellington, FL 33414 2006-05-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932707247 Juana Maria Gonzales Home Health 2766 Penhall Ct, Wellington, FL 33414 2020-10-09
1821601089 Wellington Rehab and Health Center, LLC Skilled Nursing Facility 10330 Nu Vista Ave, Wellington, FL 33414 2020-08-27
1730661158 Michelle Alexis Anagnostu Nurse Practitioner 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 2018-09-01
1932686193 Borola Inc Occupational Therapy Assistant 1985 Canterbury Circle, Wellington, FL 33414 2018-07-20
1841783156 Kid'z World Advance Inc Behavioral Analyst 2400 Wrotham Ter, Wellington, FL 33414 2018-06-11
1134619489 Devin Michael Scheller Counselor 2077 Vinings Circle Apt 1303, Wellington, FL 33414 2018-05-12
1942726617 Amanda Hardy Social Worker 11120 South Way, Suite 1, Wellington, FL 33414 2017-08-15
1467976423 Dawn Carnegia Blackshear Nurse Practitioner 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 2017-08-01
1508390238 Morgan Mccollum Speech-Language Pathologist 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 2017-04-19
1003369786 Memite G Charlemagne Registered Nurse 184 Berenger Walk, Royal Palm Beach, FL 33414 2016-07-28
Find all providers in zip 33414

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619511904 Palm Beach Elder Care LLC Internal Medicine 15686 Bent Creek Rd, Wellington, FL 33414-6317 2019-10-30
1255706065 Suzette Marshalyn Prendergast Internal Medicine 2832 Shaughnessy Dr, Wellington, FL 33414-6496 2015-12-04
1538540117 John David Internal Medicine 3343 S State Road 7, Wellington, FL 33449-8082 2015-06-09
1922409564 Romesh Senani Gooneratne Internal Medicine 3347 State Road 7 Ste 206, Wellington, FL 33449-8095 2014-09-15
1306257217 Oksana Sambirska Internal Medicine 1397 Medical Park Blvd Ste 100, Wellington, FL 33414-3187 2014-05-13
1871931790 Bilal Shaikh Internal Medicine 13577 Brightstone St, Wellington, FL 33414-8902 2013-06-13
1285987057 Jose L. Martinez Md Pa Internal Medicine 11653 South Breeze Pl, Wellington, FL 33449 2012-10-18
1396017224 Joseph Harold Cohen Internal Medicine 4431jamesestatelane, Wellington, FL 33449 2012-02-08
1568757987 Rishi Jay Panchal Internal Medicine 3347 S State Road 7 Ste 203, Wellington, FL 33449 2011-06-14
1528296977 Naveen Venugopala Reddy Internal Medicine 1397 Medical Park Blvd Ste 380, Wellington, FL 33414-3188 2009-06-24
Find all providers in WELLINGTON

Competitor

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City WELLINGTON
Zip Code 33414

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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