ADAM WAALKES LYON (NPI# 1356635932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356635932 |
Entity Type | Individual |
Full Name | ADAM WAALKES LYON |
Credential | MD |
Practice Address |
5255 E Stop 11 Rd Ste 300 Indianapolis IN 46237-6341 |
Mailing Address |
1040 Sierra Dr Ste 400 Greenwood IN 46143-7241 |
Practice Telephone | 3175284723 |
Practice Fax Number | 3175284699 |
Mailing Telephone | 3175284800 |
Mailing Fax Number | 3178651479 |
Enumeration Date | 2011-06-01 |
Last Update Date | 2019-03-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | 01078585A | IN | Allopathic & Osteopathic Physicians |
N | 207X00000X | Orthopaedic Surgery | 4301098704 | MI | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301098704 | MI | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 300003305 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1111 Leffingwell Ave Ne, Grand Rapids, MI 495256406 | 6164597101 | 6164646170 |
Street Address |
5255 E STOP 11 RD STE 300 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46237-6341 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295708659 | Richard L Makowiec | Orthopaedic Surgery | 5255 E Stop 11 Rd Ste 300, Indianapolis, IN 46237 | 2006-02-08 |
1922654813 | Ashley Marie Anderbery | Physician Assistant | 5255 E Stop 11 Rd Ste 300, Indianapolis, IN 46237-6341 | 2019-08-15 |
1992181119 | Emily Porter Neher | Physician Assistant | 5255 E Stop 11 Rd Ste 300, Indianapolis, IN 46237-6341 | 2015-08-11 |
1417218751 | Gregory James Slabaugh | Orthopaedic Surgery | 5255 E Stop 11 Rd Ste 300, Indianapolis, IN 46237-6341 | 2012-06-04 |
1780979856 | Sean Patrick Calloway | Orthopaedic Surgery | 5255 E Stop 11 Rd Ste 300, Indianapolis, IN 46237-6341 | 2011-06-16 |
1457672339 | Jennifer L Brower | Nurse Practitioner | 5255 E Stop 11 Rd Ste 300, Indianapolis, IN 46237 | 2010-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
Find all providers in zip 46237 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730561291 | Cody Shafer | Orthopaedic Surgery | 1120 W Michigan St Rm 600, Indianapolis, IN 46202-5209 | 2015-06-22 |
1134546161 | Kevin A Sonn | Orthopaedic Surgery | 1801 Senate Blvd Ste 535, Indianapolis, IN 46202-1204 | 2014-03-27 |
1528403078 | Hannah Abigail Dineen | Orthopaedic Surgery | 8501 Harcourt Rd Dept Of, Indianapolis, IN 46260 | 2013-05-09 |
1497980189 | Jason C Watters | Orthopaedic Surgery | 720 Eskenazi Ave., Indianapolis, IN 46202-5166 | 2009-05-25 |
1184883571 | David Michael Foulk | Orthopaedic Surgery | 8040 Clearvista Pkwy Ste 500, Indianapolis, IN 46256-5604 | 2008-06-02 |
1376701961 | Ripley Worman | Orthopaedic Surgery | 541 Clinical Dr Ste 600, Indianapolis, IN 46202-5233 | 2008-05-30 |
1437350634 | David M Doman | Orthopaedic Surgery | 1801 N Senate Blvd Ste 535, Indianapolis, IN 46202-1204 | 2007-05-29 |
1588756845 | Orthopaedics-indianapolis, Inc. | Orthopaedic Surgery | 1801 N Senate Blvd Ste 200, Indianapolis, IN 46202-1243 | 2006-09-28 |
1588699771 | Herbert Merrill Biel | Orthopaedic Surgery | 7930 N Shadeland Avenue, Indianapolis, IN 46250-2041 | 2006-07-12 |
1700810660 | Indiana Orthopaedic Center PC | Orthopaedic Surgery | 7930 N. Shadeland Ave., Indianapolis, IN 46250 | 2006-07-10 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46237 |
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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.