John A Lyon (NPI# 1316121189, PAC ID# 3476608878) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1316121189 |
| PAC ID by PECOS | 3476608878 |
| Professional Enrollment ID | I20090909000301 |
| Full Name | John A Lyon |
| Organization Legal Name | VILLAGE FAMILY SERVICE CENTER |
| Address |
1201 25th St Sw Fargo ND 58103-2311 |
| Phone Number | 7014516433 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2006 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7517857428 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1201 25th St Sw, Fargo, ND 58103-2311 | 7014516433 | VILLAGE FAMILY SERVICE CENTER |
| Organization Legal Name | VILLAGE FAMILY SERVICE CENTER |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keiran Vitek | Clinical Social Worker | Village Family Service Center | 815 37th Ave S, Moorhead, MN 56560-3528 |
| Julie Gail Shuster | Clinical Social Worker | Village Family Service Center | 110 6th Ave S, Saint Cloud, MN 56301-5209 |
| Bobbi Steidl | Clinical Social Worker | Village Family Service Center | 4133 Iowa St, Alexandria, MN 56308-3316 |
| Joni L Medenwald | Clinical Social Worker | Village Family Service Center | 1201 25th St Sw, Fargo, ND 58103-2311 |
| Barbara J Jochum | Clinical Social Worker | Village Family Service Center | 4140 Thielman Ln, Saint Cloud, MN 56301-7326 |
| Rebecca E Elbert | Certified Clinical Nurse Specialist (cns) | Village Family Service Center | 1201 25th St Sw, Fargo, ND 58103-2311 |
| Lisa M Schock | Psychiatry | Village Family Service Center | 1201 25th St Sw, Fargo, ND 58103-2311 |
| Erica L Overshiner | Clinical Social Worker | Village Family Service Center | 4133 Iowa St, Alexandria, MN 56308-3316 |
| Renee L Sandvik | Clinical Social Worker | Village Family Service Center | 1201 25th St Sw, Fargo, ND 58103-2311 |
| Leslie Marie Leintz Limvere | Clinical Social Worker | Village Family Service Center | 1201 25th St Sw, Fargo, ND 58103-2311 |
| Street Address |
1201 25TH ST SW |
| City | FARGO |
| State | ND |
| Zip | 58103-2311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joni L Medenwald | Clinical Social Worker | Village Family Service Center | 1201 25th St Sw, Fargo, ND 58103-2311 |
| Rebecca E Elbert | Certified Clinical Nurse Specialist (cns) | Village Family Service Center | 1201 25th St Sw, Fargo, ND 58103-2311 |
| Lisa M Schock | Psychiatry | Village Family Service Center | 1201 25th St Sw, Fargo, ND 58103-2311 |
| Renee L Sandvik | Clinical Social Worker | Village Family Service Center | 1201 25th St Sw, Fargo, ND 58103-2311 |
| Leslie Marie Leintz Limvere | Clinical Social Worker | Village Family Service Center | 1201 25th St Sw, Fargo, ND 58103-2311 |
| Sarah R Edwards | Clinical Psychologist | Village Family Service Center | 1201 25th St Sw, Fargo, ND 58103-2311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary E Johnson | Optometry | Mark Tufte Od PC | 1801 45th St S, Suite G, Fargo, ND 58103-0801 |
| Mark G Tufte | Optometry | Mark Tufte Od PC | 1801 45th St S, Suite G, Fargo, ND 58103-0801 |
| Anthony Heath Charbonneau | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 4041 Main Ave, Fargo, ND 58103-1145 |
| Scott B Phillips | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Marcus F Keep | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Behzad S Sabit | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Abdul A Baker | Neurosurgery | Sanford Clinic North | 700 1st Ave S, Fargo, ND 58103-1802 |
| Michael David Manchak | Neurology | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Tahereh Keshavarz | Physician Assistant | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Tong Yang | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Find all physicians in zip 58103 | |||
| City | FARGO |
| Zip Code | 58103 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | FARGO + CLINICAL SOCIAL WORKER |
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| 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.