Mark Lytle (NPI# 1053504308, PAC ID# 1557671088) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1053504308 |
| PAC ID by PECOS | 1557671088 |
| Professional Enrollment ID | I20160917000419 |
| Full Name | Mark Lytle |
| Organization Legal Name | COASTAL VASCULAR AND INTERVENTIONAL PLLC |
| Address |
5149 N 9th Ave Suite 120 Pensacola FL 32504-8734 |
| Phone Number | 8504791805 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 1355405549 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 | 8504791805 | COASTAL VASCULAR AND INTERVENTIONAL PLLC |
| Organization Legal Name | COASTAL VASCULAR AND INTERVENTIONAL PLLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin G Bradley | Diagnostic Radiology | Coastal Vascular and Interventional Pllc | 2301 N 9th Ave, Suite 100, Pensacola, FL 32503-5201 |
| Aaron B Montgomery | Interventional Radiology | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Jason T Nieves | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Shonak B Patel | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Christopher J Bosarge | Diagnostic Radiology | Coastal Vascular and Interventional Pllc | 1851 N 9th Ave, Pensacola, FL 32503-5201 |
| Colby Keith Sullivan | Nurse Practitioner | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Harry R Cramer | Interventional Radiology | Coastal Vascular and Interventional Pllc | 1851 N 9th Ave, Suite B, Pensacola, FL 32503-5201 |
| Geoffrey L Risley | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite G21, Pensacola, FL 32504-8756 |
| Kristina R Adam | Physician Assistant | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Tonya L Hayes | Physician Assistant | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Street Address |
5149 N 9TH AVE SUITE 120 |
| City | PENSACOLA |
| State | FL |
| Zip | 32504-8734 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron B Montgomery | Interventional Radiology | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Jason T Nieves | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Shonak B Patel | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Colby Keith Sullivan | Nurse Practitioner | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Geoffrey L Risley | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite G21, Pensacola, FL 32504-8756 |
| Kristina R Adam | Physician Assistant | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Tonya L Hayes | Physician Assistant | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Cindy A Saiter | Nurse Practitioner | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Huey B Mcdaniel | Vascular Surgery | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Christina A Dickson | Nurse Practitioner | Coastal Vascular and Interventional Pllc | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8734 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marilyn E Ricketts | Certified Nurse Midwife | Sacred Heart Hospital of Pensacola | 5045 Carpenter Creek Dr, Pensacola, FL 32504-2521 |
| Victoria L Mccullers | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Matilda Jansen | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Richard J Amato | Physician Assistant | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Wendy W Osban | Family Medicine | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Caroline Quinn | Physician Assistant | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Tobias J Moreland | Physician Assistant | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Rick Brian Stevens | General Surgery | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Jung Y Gorton | Internal Medicine | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Caitlin R Geurin | Family Medicine | Sacred Heart Hospital of Pensacola | 4501 N Davis Hwy, Suite A, Pensacola, FL 32504-2724 |
| Find all physicians in zip 32504 | |||
| City | PENSACOLA |
| Zip Code | 32504 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | PENSACOLA + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Mark Lytle.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.