JOSEPH LYDON JR. (NPI# 1598766859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598766859 |
| Entity Type | Individual |
| Full Name | JOSEPH LYDON JR. |
| Credential | M.D. |
| Practice Address |
4930 Enterprise Dr Nw Warren OH 44481-8706 |
| Practice Telephone | 3307870955 |
| Mailing Telephone | 3307870955 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2019-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
35057047 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0786378 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215546759 | Joseph Charles Lydon | Community Health Worker | 6484 N 2300 W, Cedar City, UT 84721-7102 | 2020-07-30 |
| Street Address |
4930 ENTERPRISE DR NW |
| City | WARREN |
| State | OH |
| Zip Code | 44481-8706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707304 | Wendy Tyler | Licensed Practical Nurse | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-10-16 |
| 1235740507 | Amanda Kehres | Licensed Practical Nurse | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-08-11 |
| 1013533173 | Diane Smolak | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-06-24 |
| 1780206540 | Andrea Christine Matzye | Counselor | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-05-14 |
| 1174159990 | Gregory Solomon | Social Worker | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-03-13 |
| 1215562186 | James Meyer | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-03-11 |
| 1144852864 | Gaye Tyhosky | Registered Nurse | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-02-11 |
| 1124667514 | Dalton Kinder | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-01-02 |
| 1144865627 | Laurissa Summerlin | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2019-11-08 |
| 1477197515 | Jennifer Perkinson | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2019-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215447321 | Fresenius Medical Care Youngstown, LLC | Clinic/Center | 4941 Enterprise Blvd Nw, Warren, OH 44481 | 2017-10-03 |
| 1942728407 | Amy Senne | Case Manager/Care Coordinator | 840 Hallock Young Rd Sw, Warren, OH 44481 | 2017-09-05 |
| 1669858486 | Team Sanders Inc | Respite Care | 893 Tait Rd, Warren, OH 44481 | 2015-08-04 |
| 1821492810 | Deirdre Bielecki | Dental Hygienist | 418 Main Avenue Sw, Warren, OH 44481 | 2014-10-20 |
| 1942413497 | Scope Inc | Home Health | 220 West Market Street, Warren, OH 44481 | 2007-05-08 |
| 1972624377 | Warren City Auditor | Public Health or Welfare | 258 E Market St, Warren, OH 44481 | 2007-04-03 |
| 1780703025 | Cythnia Coleman | Social Worker | 150 E. Market Street- Primary Practice Address, Warren, OH 44481 | 2007-03-28 |
| 1780036079 | Carol Henderson | Counselor | 320 High St Ne, Warren, OH 44481 | 2016-07-11 |
| 1801112081 | Michael F Potesta | Psychiatry & Neurology | 150 E Market St, Warren, OH 44481 | 2010-04-13 |
| 1568592624 | June Marie Mollic | Counselor | 150 E Market St, Warren, OH 44481 | 2007-03-07 |
| Find all providers in zip 44481 | ||||
| Taxonomy Code | 207LA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Addiction Medicine |
| An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487651964 | Laura J Yard | Anesthesiology | 4483 Us Route 42, Mason, OH 45040 | 2005-06-30 |
| 1487168209 | A New Beginning Counseling Services LLC | Anesthesiology | 1065 Delaware Ave Ste A, Marion, OH 43302-6461 | 2017-12-01 |
| 1386803138 | Linda Jean Dennis | Anesthesiology | 547 E 11th Ave, Columbus, OH 43211-2603 | 2008-06-06 |
| 1558414334 | Greene Memorial Hospital Services Inc. | Anesthesiology | 1141 N Monroe Dr, Xenia, OH 45385-1619 | 2007-01-18 |
| 1275509275 | Tracy L Neuendorf | Anesthesiology | 1011 Boardman Canfield Rd, Youngstown, OH 44512-4226 | 2006-02-28 |
| 1831164748 | Israel Henig | Anesthesiology | 6789 Ridge Rd, #209, Parma, OH 44129 | 2006-02-22 |
| 1861472441 | Robert J Masone | Anesthesiology | 5815 Westbourne Ave, Columbus, OH 43213-1459 | 2006-01-19 |
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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.