DR. KENNETH M LYSSY JR.


Address: 6100 Bandera Rd, 403, San Antonio, TX 78238-1652
Phone: 2102569500

DR. KENNETH M LYSSY JR. (NPI# 1194718361) 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) 1194718361
Entity Type Individual
Full Name DR. KENNETH M LYSSY JR.
Credential M.D.
Practice Address 6100 Bandera Rd
403
San Antonio
TX 78238-1652
Practice Telephone 2102569500
Practice Fax Number 2102568720
Mailing Telephone 2102569500
Mailing Fax Number 2102568720
Enumeration Date 2005-08-23
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine J3539 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS 0098EN 01

Office Location

Street Address 6100 BANDERA RD
403
City SAN ANTONIO
State TX
Zip Code 78238-1652

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831182005 Kathleen Jane Lyssy Internal Medicine 6100 Bandera Rd, 403, San Antonio, TX 78238-1652 2005-08-23
1205039559 Kenneth M. Lyssy Jr Md Pa Family Medicine 6100 Bandera Rd, Suite 403, San Antonio, TX 78238-1652 2007-06-06
1275759540 Pain & Neuromuscular Clinic of Texas, P.a. Specialist 6100 Bandera Rd, 710, San Antonio, TX 78238-1652 2007-04-17
1316061377 Carlos Javier Diaz Velez Internal Medicine 6100 Bandera Rd, Suite 215, San Antonio, TX 78238-1652 2007-03-16
1417086372 Lawrence Paul Dimiceli Dentist 6100 Bandera Rd, Ste 300, San Antonio, TX 78238 2007-03-05
1831284892 Praful R Mehta Internal Medicine 6100 Bandera Rd, Suite 710, San Antonio, TX 78238-1652 2006-10-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598383259 Dialysis Clinic Inc. Clinic/Center 6146 Wurzbach Road, San Antonio, TX 78238 2020-07-09
1043857360 Danielle Renee De Luna Counselor 5505 Lost Lane, San Antonio, TX 78238 2019-12-05
1013444777 Avery Rodriguez Physical Therapy Assistant 5270 Bandera Rd Ste 14, San Antonio, TX 78238 2017-05-12
1760898894 Silas Pimentel Physical Therapist 5720 Bandera Rd Ste 14, San Antonio, TX 78238 2014-07-09
1942550553 Stanley Toh Forze Registered Nurse 6933 Border Brk Apt 1910, San Antonio, TX 78238 2012-09-12
1891004032 Texan Smile Dentistry 3 PC Dentist 5983 Bandera Rd., San Antonio, TX 78238 2010-10-06
1275847683 Deborah Michelle Solorzano Dentist 5715 Evers Road, San Antonio, TX 78238 2010-07-28
1932436326 Campos Family Dental, P.C. Dentist 6140 Wurzbach Road, San Antonio, TX 78238 2009-11-06
1063665495 Benjamino L Granato Durable Medical Equipment & Medical Supplies 6415 Bandera, San Antonio, TX 78238 2008-10-29
1891962262 Gerald L Froemming Dentist 6436 Bandera Road, #1, San Antonio, TX 78238 2008-05-14
Find all providers in zip 78238

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881295327 Courtney L Buchmeier Family Medicine 16620 San Pedro Ave, San Antonio, TX 78232-2327 2020-11-02
1255938866 Bart Knight Family Medicine 106 Herweck Dr, San Antonio, TX 78213-3329 2020-10-06
1114530565 Jacob C Reedy Family Medicine 525 Richmond Ave, San Antonio, TX 78215-2008 2020-08-26
1750992277 Premier Tests LLC Family Medicine 410 E Wildwood, San Antonio, TX 78212-1758 2020-08-10
1770104457 Bryanna Bermea Cantu Family Medicine 2318 San Pedro Ave Ste 12, San Antonio, TX 78212-1901 2020-05-04
1447886544 Lets Look At Your Labs LLC Family Medicine 1603 Babcock Rd Ste 238-5, San Antonio, TX 78229-4708 2020-03-20
1609414937 Lonestar Visiting Physicians LLC Family Medicine 406 Halliday Ave, San Antonio, TX 78210-4057 2019-12-17
1679126817 Sarah Heather Martinez Family Medicine 15106 Oak Loft St, San Antonio, TX 78232-4617 2019-07-17
1659930634 Villa Family Clinic, PC Family Medicine 2000 Se Loop 410 Ste 127a, San Antonio, TX 78220-4933 2019-06-12
1508327859 South Texas Family Medicine and Urgent Care Center Family Medicine 3526 Galveston Trl, San Antonio, TX 78253-6219 2019-03-28
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78238

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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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