LYLE VICTOR (NPI# 1447230669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447230669 |
| Entity Type | Individual |
| Full Name | LYLE VICTOR |
| Credential | MD |
| Practice Address |
42180 Ford Rd Ste 201 Canton MI 48187-3676 |
| Mailing Address |
26901 Beaumont Blvd Ste 3d Southfield MI 48033-3849 |
| Practice Telephone | 7348446075 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
4301038979 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104530220 | 05 | |
| MI | BLUE SHIELD | 290H216580 | 01 |
| Street Address |
42180 FORD RD STE 201 |
| City | CANTON |
| State | MI |
| Zip Code | 48187-3676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
| 1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
| 1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
| 1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
| Find all providers in zip 48187 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306990676 | M Hazem Raslan Md PC | Internal Medicine | 6300 N Haggerty Rd, Suite 210, Canton, MI 48187-3568 | 2007-01-23 |
| 1831415157 | Spencer Michael Lee | Internal Medicine | 460 Northside Cherokee Blvd, Ste 130, Canton, GA 30115 | 2010-04-12 |
| 1164600623 | Akhil Vallabhaneni | Internal Medicine | 460 Northside Cherokee Blvd Ste 130, Canton, GA 30115-8017 | 2008-02-07 |
| 1023223260 | Craig Neale Rosebrock | Internal Medicine | 201 Hospital Rd, Appartment Uu1, Canton, GA 30114-2408 | 2007-05-11 |
| 1669581799 | John T Given Md Inc | Internal Medicine | 4048 Dressler Rd Nw, Suite 100, Canton, OH 44718-2784 | 2006-08-30 |
| 1730122912 | Jill Denise Rossrucker | Internal Medicine | 320 Hospital Rd, Canton, GA 30114-2410 | 2006-06-14 |
| 1659320224 | Cherokee Lung & Sleep Specialists, P.C. | Internal Medicine | 15 Reinhardt College Pkwy, Suite 108, Canton, GA 30114-5257 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506684 | Night Hawk Sleep Systems, Inc. | Internal Medicine | 20836 Hall Rd Ste 232, Clinton Township, MI 48038-7227 | 2020-10-22 |
| 1598286262 | Younghwa Kwon | Internal Medicine | 16001 W 9 Mile Rd Ofc, Southfield, MI 48075-4818 | 2017-07-03 |
| 1679949150 | Morpheus International Sleep Solutions Pllc | Internal Medicine | 46472 Crystal Downs W, Northville, MI 48168-8483 | 2015-08-19 |
| 1972928513 | Gerald T Pruitt Do Pllc | Internal Medicine | 350 Whitehills Dr, East Lansing, MI 48823-2758 | 2014-02-19 |
| 1629408315 | Pulmonary & Critical Care One PC | Internal Medicine | 4160 John R St Ste 1011, Harper Professional Building, Detroit, MI 48201-2017 | 2013-11-18 |
| 1558630194 | Sue Killion Cammarata | Internal Medicine | 117 Clinton St, South Haven, MI 49090-1201 | 2011-12-28 |
| 1265712012 | Pulmonary Specialists of Michigan, PC | Internal Medicine | 23500 Park St., Suite #3, Dearborn, MI 48124 | 2011-08-25 |
| 1588899595 | Michigan Medical Patient Care | Internal Medicine | 2902 Bradford Street Ne, Grand Rapids, MI 49525 | 2009-05-19 |
| 1275774531 | Integrated Geriatric Services Pllc | Internal Medicine | 3080 Fleming Lake Dr, Ann Arbor, MI 48105-8000 | 2009-03-17 |
| 1487816419 | Advanced Pulmonary & Sleep Associates PC | Internal Medicine | 1110 N Telegraph Rd, Dearborn, MI 48124-1634 | 2008-07-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LYLE VICTOR.
| 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.