DR. JACQUELINE MARIE LYON (NPI# 1689676496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689676496 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE MARIE LYON |
| Credential | M.D. |
| Practice Address |
80 Seymour St Helen and Harry Gray Cancer Center At Hartford Hospital Hartford CT 06102-8000 |
| Mailing Address |
6 Stratford Park Bloomfield CT 06002-2143 |
| Practice Telephone | 8605452803 |
| Mailing Telephone | 8602423308 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2010-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
027112 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM/UCONN | 500HBX099CT02 | 01 |
| CT | AETNA | 2045943 | 01 |
| CT | 001271121 | 05 | |
| CT | CONNECTICARE | 458887 | 01 |
| CT | ANTHEM/PHOENIX | 500HBX099CT05 | 01 |
| CT | CIGNA | 0143311-011 | 01 |
| CT | ANTHEM/HARTFORD | 500HBX099CT01 | 01 |
| CT | ANTHEM/DEQUATTRO | 500HBX099CT04 | 01 |
| CT | UNITED HEATHCARE | 06-1062103 | 01 |
| CT | HEATHNET | 0S2354 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273627 | Jacqueline Lyon | Behavior Technician | 1819 E Springfield Ave Ste H, Spokane, WA 99202-2954 | 2020-07-24 |
| Street Address |
80 SEYMOUR ST HELEN AND HARRY GRAY CANCER CENTER AT HARTFORD HOSPITAL |
| City | HARTFORD |
| State | CT |
| Zip Code | 06102-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942207394 | Avinash Prasad | Psychiatry & Neurology | 80 Seymour St, Hartford Hospital Neurology Dept, Hartford, CT 06102-8000 | 2005-06-30 |
| 1215535935 | Lataya Hewitt | Nurse Practitioner | 80 Seymour St, Hartford, CT 06106-3315 | 2020-10-14 |
| 1629685938 | Nicole Martina | Nurse Practitioner | 80 Seymour St, Hartford, CT 06106-3315 | 2020-09-30 |
| 1477168011 | Cassidy Goodwin | Nurse Practitioner | 80 Seymour St, Hartford, CT 06102-8000 | 2020-09-10 |
| 1215541933 | Molly Zarnick | Speech-Language Pathologist | 80 Seymour St, Hartford, CT 06106-3300 | 2020-09-01 |
| 1306457320 | Taylor Merrick | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2020-08-13 |
| 1538770474 | Carlyn Esposito | Registered Nurse | 80 Seymour St, Hartford, CT 06106-3315 | 2020-08-13 |
| 1679184121 | Kimberly M Davis | Nurse Anesthetist, Certified Registered | 80 Seymour St, Hartford, CT 06106-3315 | 2020-08-10 |
| 1679182109 | Elsayed Elsayed Hassan Ibrahim | Student in an Organized Health Care Education/Training Program | 80 Seymour St, Hartford, CT 06102-8000 | 2020-07-30 |
| 1780292615 | Jordan Steven Totaro | Student in an Organized Health Care Education/Training Program | 80 Seymour St, Hartford, CT 06106-3315 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843616 | Michael Skolnick | Registered Nurse | West Grad Building, Institute of Living, 200 Retreat Ave, Hartford, CT 06102 | 2020-05-19 |
| 1942734058 | Giorgi Kveladze | Internal Medicine | 80 Seymour St. Hospitalist Devision, Hartford, CT 06102 | 2017-04-14 |
| 1902352248 | Safina Hafeez | Student in an Organized Health Care Education/Training Program | 80 Seymour Street Hartford Hospital, 3rd Floor Pathology, Hartford, CT 06102 | 2016-08-28 |
| 1154774990 | Neelam Khetpal | Internal Medicine | 80 Seymour St Bldg 502, Hartford, CT 06102 | 2016-07-17 |
| 1588073613 | Gene Pershwitz | Internal Medicine | 80 Seymour St Dept Jb704, Hartford, CT 06102 | 2014-08-02 |
| 1831503101 | Sarah Meira Benchaya | Psychiatry & Neurology | 80 Seymour Street #jb 604, Hartford, CT 06102 | 2014-06-16 |
| 1255742326 | Stephanie Felicia Alessi-larosa | Psychiatry & Neurology | 80 Seymour St. Jb 604, University of Connecticut/hartford Hospital, Hartford, CT 06102 | 2014-05-12 |
| 1619219219 | Hartford Hospital | Psychiatric Hospital | 200 Retreat St, Institute of Living, Hartford, CT 06102 | 2013-03-21 |
| 1548271141 | Pasquale F Finelli | Psychiatry & Neurology | 80 Seymour Street, Jb Suite 604, Hartford Hospital Neurology Dept., Hartford, CT 06102 | 2006-08-10 |
| 1265474340 | Gary Francis Nobert | Obstetrics & Gynecology | Hartford Hospital Ob Gyn Dept, 80 Seymour Street, Hartford, CT 06102 | 2006-06-12 |
| Find all providers in zip 06102 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194838326 | Eric M. Vanrooy | Radiology | 94 Woodland Street, Hartford, CT 06105 | 2006-08-15 |
| 1831584614 | Adriana Blakaj | Radiology | 80 Seymour St, Hartford, CT 06106-3315 | 2015-03-30 |
| 1346532173 | Charles E. Rutter | Radiology | 80 Seymour St, Hartford Hospital, Hartford, CT 06106-3315 | 2011-05-12 |
| 1720143563 | Connecticut Radiation Oncology, P.C. | Radiology | 94 Woodland St, Hartford, CT 06105-1217 | 2006-12-22 |
| 1003829615 | Bruce M. (michael) Kaplan | Radiology | 94 Woodland St, Hartford, CT 06105-1217 | 2006-08-14 |
| 1649207762 | Richard C Shumway | Radiology | 94 Woodland St, Radiation Oncology, Hartford, CT 06105-1217 | 2006-06-26 |
| 1588621726 | Radiation Medicine Services, LLC | Radiology | 80 Seymour St, Hartford, CT 06106-3315 | 2006-05-01 |
| 1770543050 | Judith Buckley | Radiology | 80 Seymour St, Hartford, CT 06106-3315 | 2006-03-23 |
| 1346236759 | Hartford Radiation Oncology Associates PC | Radiology | 80 Seymour St, Hartford, CT 06106 | 2005-09-21 |
| 1093700643 | Robert Dowsett | Radiology | 80 Seymour St, Hartford, CT 06102-8000 | 2005-09-20 |
| Find all providers in HARTFORD | ||||
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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.