DR. LYNNE A SKARYAK (NPI# 1114966033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114966033 |
| Entity Type | Individual |
| Full Name | DR. LYNNE A SKARYAK |
| Credential | M.D. |
| Practice Address |
1723 Broadway St Ste 210 Cape Girardeau MO 63701-4556 |
| Practice Telephone | 5733317870 |
| Practice Fax Number | 5733317899 |
| Mailing Telephone | 5733317870 |
| Mailing Fax Number | 5733317899 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | D0060600 | MD | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | D0060600 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | R/R MEDICARE GROUP # | CA8374 | 01 |
| MD | R/R MEDICARE PROVIDER # | P00056017 | 01 |
| MD | 402649700 | 05 |
| Street Address |
1723 BROADWAY ST STE 210 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-4556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922654359 | Emily Boatner Burdin | Nurse Practitioner | 1723 Broadway St Ste 210, Cape Girardeau, MO 63701-4556 | 2019-08-12 |
| 1487213864 | Jamie Vandermierden | Nurse Practitioner | 1723 Broadway St Ste 210, Cape Girardeau, MO 63701-4556 | 2019-06-10 |
| 1386101871 | Leeanna Pike Rhodes | Nurse Practitioner | 1723 Broadway St Ste 210, Cape Girardeau, MO 63701-4556 | 2019-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427010735 | Paul D Robison | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 371 S Broadview St, Cape Girardeau, MO 63703-5761 | 2006-04-03 |
| 1962569046 | George Berberian | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 371 S Broadview St, Cape Girardeau, MO 63703-5761 | 2007-01-02 |
| 1598854028 | James D Ramsey | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1723 Broadway, Suite 310, Cape Girardeau, MO 63701 | 2006-10-12 |
| 1134218662 | Randy G Brown | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1723 Broadway, Suite 310, Cape Girardeau, MO 63701 | 2006-10-12 |
| 1912019019 | Ronald Brent New | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3250 Gordonville Rd, Suite 358, Cape Girardeau, MO 63703-5056 | 2006-08-31 |
| 1669584603 | John C Wiggans | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3250 Gordonville Rd, Suite 358, Cape Girardeau, MO 63703-5056 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891034484 | John Phillip Connors | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1733 Kenmont Rd, Saint Louis, MO 63124-1021 | 2013-02-03 |
| 1699074336 | Joseph John Platz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1035 Belleville Aveune, Suite 500, St. Louis, MO 63117 | 2011-03-21 |
| 1114243995 | Graham Robertson Young Pollock | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4320 Wornall Rd Ste 50-ii, Kansas City, MO 64111-5941 | 2010-04-19 |
| 1639305055 | George C Kaiser | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 Joy Ave, Webster Groves, MO 63119-2502 | 2009-06-01 |
| 1043460710 | Justin Van Meeteren | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2330 E Meyer Blvd Ste 505, Kansas City, MO 64132-1152 | 2008-09-30 |
| 1508024753 | Tracy Elmer Strevey Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1509 Woodgate Dr, Frontenac, MO 63131-4724 | 2008-05-23 |
| 1275712010 | Donovan Mitchell Stinnett | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1701 W 26th St, Suite B, Joplin, MO 64804-1513 | 2007-10-29 |
| 1720277197 | Heart and Vascular Care | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 412 Highway 71, Suite J, Pineville, MO 64856-9310 | 2007-10-22 |
| 1801008396 | Peter Fonseca Md, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10004 Kennerly, Suite 345a, St. Louis, MO 63128 | 2007-05-04 |
| 1669531182 | James N. Pinckley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1900 S. National, Suite 3400, Springfield, MO 65804 | 2006-12-08 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
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| 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.