Kevin G Lydon (NPI# 1114056231, PAC ID# 8820156268) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1114056231 |
| PAC ID by PECOS | 8820156268 |
| Professional Enrollment ID | I20081029000160 |
| Full Name | Kevin G Lydon |
| Organization Legal Name | PEC ST PETERS LLC |
| Address |
6764 Mexico Rd Saint Peters MO 63376-1505 |
| Phone Number | 6363972020 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1978 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7911266721 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6764 Mexico Rd, Saint Peters, MO 63376-1505 | 6363972020 | PEC ST PETERS LLC |
| Organization Legal Name | PEC ST PETERS LLC |
| Physicians | 1 |
| Street Address |
6764 MEXICO RD |
| City | SAINT PETERS |
| State | MO |
| Zip | 63376-1505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary K Knight Macheca | Nurse Practitioner | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Stanley Mathew | Endocrinology | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Mei Chris Huang | Gastroenterology | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Ranjani P Ramanathan | Endocrinology | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Brittany Nicole Lyons | Nurse Practitioner | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Prajakta Mungikar | Internal Medicine | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Dianna J Ohlman | Nurse Practitioner | Physician Groups Lc | 201 Bjc St Peters Dr, Suite 200, St Peters, MO 63376 |
| Gary J Meltz | Internal Medicine | Boonslick Medical Group Inc | 201 Bjc St Peters Dr, Suite 100, Saint Peters, MO 63376 |
| Robert B Cusworth | Gastroenterology | Boonslick Medical Group Inc | 201 Bjc St Peters Dr, Saint Peters, MO 63376 |
| Penny L Richardson | Chiropractic | 8471 Mexico Rd, Saint Peters, MO 63376-1103 | |
| Find all physicians in zip 63376 | |||
| City | SAINT PETERS |
| Zip Code | 63376 |
| Specialty | OPTOMETRY |
| City + Specialty | SAINT PETERS + OPTOMETRY |
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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.