DAVID J LYDON (NPI# 1154390599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154390599 |
| Entity Type | Individual |
| Full Name | DAVID J LYDON |
| Credential | D.O. |
| Practice Address |
722 Hyatt St Gaffney SC 29341-2643 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8644892400 |
| Practice Fax Number | 8644883987 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0260 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PIN | SCE466J577 | 01 |
| SC | MEDICARE PIN | SCE4666084 | 01 |
| SC | MEDICARE PIN | SCE4665193 | 01 |
| SC | 002605 | 05 |
| Street Address |
722 HYATT ST |
| City | GAFFNEY |
| State | SC |
| Zip Code | 29341-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902327760 | Betsey Collins Scruggs | Nurse Practitioner | 722 Hyatt St, Gaffney, SC 29341-2643 | 2017-07-02 |
| 1932657640 | Dianna Michelle Peterson | Nurse Practitioner | 722 Hyatt St, Gaffney, SC 29341-2643 | 2016-09-12 |
| 1093171332 | Mary Black Physicians Group LLC | Durable Medical Equipment & Medical Supplies | 722 Hyatt St, Suite D, Gaffney, SC 29341-2643 | 2015-12-31 |
| 1609264936 | Spartanburg Medical Center | Family Medicine | 722 Hyatt St, Gaffney, SC 29341-2643 | 2015-01-09 |
| 1932334786 | Doshandra N Nelson | Family Medicine | 722 Hyatt St, Gaffney, SC 29341-2643 | 2009-05-22 |
| 1598902488 | Novant Medical Group Inc | Family Medicine | 722 Hyatt St, Suite A, Gaffney, SC 29341-2643 | 2009-01-14 |
| 1891932919 | Novant Medical Group Inc | Family Medicine | 722 Hyatt St, Suite C, Gaffney, SC 29341-2644 | 2009-01-12 |
| 1982841243 | Novant Medical Group Inc | Family Medicine | 722 Hyatt St, Suite B, Gaffney, SC 29341-2643 | 2009-01-08 |
| 1598900078 | Mary Black Physicians Group, LLC | Family Medicine | 722 Hyatt St, Suite C, Gaffney, SC 29341-2643 | 2008-12-11 |
| 1134376734 | Novant Medical Group Inc | Orthopaedic Surgery | 722 Hyatt St, Suite D, Gaffney, SC 29341-2643 | 2008-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942855564 | Taylor Lynn Helms | Speech-Language Pathologist | Cherokee County School District 1, 141 Twin Lake Rd, Gaffney, SC 29341 | 2019-08-09 |
| 1679092084 | Jasmine Evonne Tate | Specialist/Technologist | 131 Poplar Ridge Drive, Gaffney, SC 29341 | 2017-09-18 |
| 1538532163 | Gail Ritchie-antenucci | Counselor | 401 S. Logan Street, Gaffney, SC 29341 | 2015-11-04 |
| 1457755381 | Advantage Early Intervention of The Upstate | Early Intervention Provider Agency | 428 Old Metal Road, Gaffney, SC 29341 | 2014-10-21 |
| 1245659945 | Rebecca Wheeler | Registered Nurse | 855 West Rutledge Avenue, Gaffney, SC 29341 | 2014-04-09 |
| 1558677559 | Lisa Bishop, Mcd,ccc-slp | Speech-Language Pathologist | 109 A Chelle Lin Drive, Gaffney, SC 29341 | 2010-08-27 |
| 1912101965 | Palmetto Chiropractic Plus | Chiropractor | 428 Hyatt Street Ste B, Gaffney, SC 29341 | 2007-06-13 |
| 1093919391 | Chiropractic Wellness Inc | Chiropractor | 122 S. Granard Street, Gaffney, SC 29341 | 2007-06-12 |
| 1003038084 | Kathy Jo Bratton | Specialist/Technologist | 153 Green Park Drive, Gaffney, SC 29341 | 2007-05-02 |
| 1225155138 | Wanda Marie Bobo | Occupational Therapy Assistant | 233 Tiffany Park, Gaffney, SC 29341 | 2007-03-23 |
| Find all providers in zip 29341 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821649393 | Cherokee Medical Center | Family Medicine | 722 Hyatt St Ste C, Gaffney, SC 29341-2644 | 2019-09-25 |
| 1801900865 | Mary Black Health System LLC | Family Medicine | 724 Hyatt St Ste D, Gaffney, SC 29341-2630 | 2006-08-18 |
| 1144261983 | Spartanburg Medical Center | Family Medicine | 1341 N Limestone St, Gaffney, SC 29340-4823 | 2006-06-10 |
| 1629021829 | Richard C Cutchin | Family Medicine | 517 Chesnee Hwy, Suite A, Gaffney, SC 29341-2709 | 2006-05-18 |
| 1225095243 | Barbara C Ray | Family Medicine | 1604 N Limestone St, Gaffney, SC 29340-2312 | 2006-04-26 |
| 1881665685 | Marian Jane Wasson | Family Medicine | 1307 N Logan St, Gaffney, SC 29341-2026 | 2006-01-30 |
| 1275504359 | Robert Wayne Kaemmerlen | Family Medicine | 840 W Floyd Baker Blvd, Gaffney, SC 29341-1845 | 2006-01-27 |
| 1710965637 | Robert E Jackson Jr. | Family Medicine | 517 Chesnee Hwy Ste A, Gaffney, SC 29341-2709 | 2006-01-03 |
| 1386625564 | Khalid N Soherwardy | Family Medicine | 317 N Logan St, Gaffney, SC 29341-2353 | 2005-11-07 |
| 1467093583 | Cherokee Medical Center | Family Medicine | 517 Chesnee Hwy Ste A, Gaffney, SC 29341-2709 | 2019-09-30 |
| Find all providers in GAFFNEY | ||||
Please comment or provide details below to improve the information on DAVID J LYDON.
| 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.