Malcolm K Lyon (NPI# 1487708624, PAC ID# 7214169671) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1487708624 |
| PAC ID by PECOS | 7214169671 |
| Professional Enrollment ID | I20140417000805 |
| Full Name | Malcolm K Lyon |
| Organization Legal Name | ESS OF NACOGDOCHES LLC |
| Address |
1204 N Mound St Nacogdoches TX 75961-4027 |
| Phone Number | 9365644611 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 1981 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3375821630 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450508 | MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1204 N Mound St, Nacogdoches, TX 75961-4027 | 9365644611 | ESS OF NACOGDOCHES LLC |
| Organization Legal Name | ESS OF NACOGDOCHES LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence Q Robinson | Emergency Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Koteshwara R Nadipalli | Family Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Robert Griffith | Nurse Practitioner | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Lashonda Evetta Traylor | Nurse Practitioner | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Edwin Emborgo | Family Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Douglas B Ferguson | Emergency Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Medda Michelle Rauhut | Emergency Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Thomas E Curtis | Emergency Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Andrew J Hamill | Emergency Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Christopher Wattigny | Family Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Street Address |
1204 N MOUND ST |
| City | NACOGDOCHES |
| State | TX |
| Zip | 75961-4027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence Q Robinson | Emergency Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| James Edward Hughes | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1204 N Mound St, Yps Anesthesia Services, Nacogdoches, TX 75961-4027 |
| Koteshwara R Nadipalli | Family Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Robert Griffith | Nurse Practitioner | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Lashonda Evetta Traylor | Nurse Practitioner | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Kendra B Stockman | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1204 N Mound St, Yps Anesthesia Services, Nacogdoches, TX 75961-4027 |
| Gregory S Wallis | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1204 N Mound St, Yps Anesthesia Services, Nacogdoches, TX 75961-4027 |
| Edwin Emborgo | Family Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Douglas B Ferguson | Emergency Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Jessica Jones Gotham | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1204 N Mound St, Yps Anesthesia Services, Nacogdoches, TX 75961-4027 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ky V Nguyen | Emergency Medicine | Living Forest Country Emergency Physicians Pllc | 4920 Ne Stallings Dr, Nacogdoches, TX 75961-1254 |
| Leopoldo M Basilico | Family Medicine | Living Forest Country Emergency Physicians Pllc | 4920 Ne Stallings Dr, Nacogdoches, TX 75961-1254 |
| Christian L Trux | Emergency Medicine | Living Forest Country Emergency Physicians Pllc | 4920 Ne Stallings Dr, Nacogdoches, TX 75961-1254 |
| Roger N Collins | Emergency Medicine | 4920 Ne Stallings Dr, Nacogdoches, TX 75961-1254 | |
| David M Brown | Emergency Medicine | Living Forest Country Emergency Physicians Pllc | 4920 Ne Stallings Dr, Nacogdoches, TX 75961-1254 |
| Mary Beth Calme | Diagnostic Radiology | Radiology Consultants of Nacogdoches LLP | 1204 N Mound, Nacogdoches, TX 75961-4027 |
| Medda Michelle Rauhut | Emergency Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Thomas E Curtis | Emergency Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Andrew J Hamill | Emergency Medicine | Ess of Nacogdoches LLC | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| William C Mitchell | Family Medicine | Texas Emergency Staffing Solutions Pa | 1204 N Mound St, Nacogdoches Memorial Hospital, Nacogdoches, TX 75961-4027 |
| Find all physicians in zip 75961 | |||
| City | NACOGDOCHES |
| Zip Code | 75961 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | NACOGDOCHES + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Malcolm K Lyon.
| 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.