MS. MARY C LYONS


Address: 400 S Lewis Ln, Carbondale, IL 62901-3547
Phone: 6185199901

MS. MARY C LYONS (NPI# 1801952775) 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) 1801952775
Entity Type Individual
Full Name MS. MARY C LYONS
Other Name MARY C ENDERLE
Credential PA
Practice Address 400 S Lewis Ln
Carbondale
IL 62901-3547
Mailing Address 109 California Street
Po Box 577
Carterville
IL 62918-0577
Practice Telephone 6185199901
Practice Fax Number 5195291384
Mailing Telephone 6189858221
Mailing Fax Number 6189854635
Enumeration Date 2006-12-28
Last Update Date 2015-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 085-000952 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARY LYONS

NPI Name Taxonomy Address Enumeration
1275144982 Mary Kathryn Lyons Registered Nurse 128 Frankfort Rd, New Cumberland, WV 26047-3004 2020-08-14
1780001545 Mary Lyons Nurse Practitioner 310 Freeport St Ste A, Houston, TX 77015-2339 2014-03-18
1063616241 Mary Kay Lyons Licensed Practical Nurse 529 Pine St, Greenfield, OH 45123-1427 2007-06-12
1689289902 Mary Lyons Technician 360 Main St, Hamlin, WV 25523-1412 2020-09-14
1174006290 Mary Lyons Clinical Nurse Specialist 801 S Washington St, Naperville, IL 60540-7430 2018-09-13
1730588435 Mary Christine Lyons Counselor 1205 4th St, Key West, FL 33040-3707 2014-08-19
1902245400 Mary T Lyons Nurse Practitioner 9900 Bren Rd E, Minnetonka, MN 55343-9664 2013-06-18
1649475559 Mary Therese Lyons Clinical Nurse Specialist 1901 W Harrison St, Chicago, IL 60612-3714 2007-06-19
1659593481 Mary Lyons Dermatology 4855 Sw Western Ave, Beaverton, OR 97005-3460 2007-05-02
1316027881 Mary Melanie Lyons Nurse Practitioner 460 W 10th Ave, Columbus, OH 43210-1240 2006-10-17

Office Location

Street Address 400 S LEWIS LN
City CARBONDALE
State IL
Zip Code 62901-3547

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356337133 Kelly Colleen Higgins Internal Medicine 400 S Lewis Ln, Carbondale, IL 62901-3547 2005-09-27
1629629357 Shawnee Health Service and Development Corp Clinic/Center 400 S Lewis Ln, Carbondale, IL 62901-3547 2019-09-24
1205323763 Laboratory Corporation of America Clinical Medical Laboratory 400 S Lewis Ln, Carbondale, IL 62901 2018-04-19
1780134130 Christina Trapp Physician Assistant 400 S Lewis Ln, Carbondale, IL 62901-3547 2016-10-10
1184095622 Sara Hoyle Physician Assistant 400 S Lewis Ln, Carbondale, IL 62901-3547 2015-10-09
1811303977 Lab One LLC Clinical Medical Laboratory 400 S Lewis Ln, Carbondale, IL 62901-3547 2014-07-09
1801201538 Tasmeer Hassan Family Medicine 400 S Lewis Ln, Carbondale, IL 62901-3547 2014-06-20
1528478559 Renee Barnes Feather Family Medicine 400 S Lewis Ln, Carbondale, IL 62901-3547 2014-04-29
1144661158 Stacy L Agosto Social Worker 400 S Lewis Ln, Carbondale, IL 62901 2013-07-08
1053669903 Kristi Ann Annegers Counselor 400 S Lewis Ln, Carbondale, IL 62901-3547 2012-08-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558961268 Gerad Aaron Harsy Pharmacist Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 2020-10-30
1437708674 Board of Trustees of Southern Illinois University Clinic/Center 300 W Oak Street, Carbondale, IL 62901 2019-09-10
1306317383 Rachael O Johnson Nurse Practitioner 404 S. Lewis Ln, Carbondale, IL 62901 2018-12-17
1740795194 Megan Marie Zimmerman Nurse Practitioner 1100 W Diann Ln., Carbondale, IL 62901 2017-12-07
1295244242 Amy Elizabeth Prudencio Social Worker 1301 E. Walnut Street, Carbondale, IL 62901 2017-09-21
1740708171 Theresa Aleise Goodin Speech-Language Pathologist 1301 East Walnut Street, Carbondale, IL 62901 2017-09-06
1144762527 Kathleen Chwalisz Rigney Psychologist 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 2016-11-16
1285185173 Shawnee Health Service and Development Corp Social Worker 404 S. Lewis Lane, Carbondale, IL 62901 2016-10-17
1437605094 Arielle Greer Nurse's Aide 510 E. Russell St., A, Carbondale, IL 62901 2016-09-01
1518413863 Complete Family Eyecare of Carbondale, PC Optometrist 1241 East Walnut Street, Carbondale, IL 62901 2016-08-28
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821618471 Derrik Abell Physician Assistant 11648 Rolling Meadows Ln, Carbondale, IL 62901-0750 2020-04-23
1598277907 Mallory Lindberg Physician Assistant 207 W Jackson St Ste 201, Carbondale, IL 62901-1408 2017-10-26
1790009488 Northeast Physician Housecalls, Inc. Physician Assistant 52 Dundaff St, Carbondale, PA 18407-1879 2010-03-24
1164618633 Rachel Marie Sargent Physician Assistant 600 N. Giant City Rd, Carbondale, IL 62902-6413 2007-09-19
1851502421 Kelly K Hand Physician Assistant 665 E Lake Rd, Carbondale, IL 62901-5347 2007-05-25
1073729877 Kathleen Ann Dodd Physician Assistant 374 East Grand, Carbondale, IL 62901-6740 2007-05-16
1376680462 Gabriel A Martin Physician Assistant 103 S Washington St, Suite 202, Carbondale, IL 62901-3030 2007-01-30
1649385873 Mary L Brandenburg Physician Assistant 1301 E Walnut St, Carbondale, IL 62901-5004 2006-08-20
1841237120 Patricia A Boudet Physician Assistant 404 S Lewis Ln, Carbondale, IL 62901-3547 2006-06-02
1871542811 Michael Anthony Bryant Physician Assistant 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 2006-05-08
Find all providers in CARBONDALE

Competitor

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City CARBONDALE
Zip Code 62901

Improve Information

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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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