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JOSEPH LYDON M.D. NPI 1598766859


NPI Information

NPI: 1598766859
Provider Name: JOSEPH LYDON, M.D.
Classification: Anesthesiology - 207LA0401X
Entity Type: Individual

Specialization: Addiction Medicine

Organization: COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY

PECOS Registration: Yes

Address:
4930 ENTERPRISE DR NW
WARREN, OH
ZIP 44481
Phone: (330) 787-0955
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Joseph Lydon, M.D. is an addiction medicine anesthesiology in Warren, OH with 38 years of experience. The provider is an anesthesiologist who specializes in the diagnosis and treatment of addictions. Joseph Lydon, M.D. NPI is 1598766859. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:1986

The provider's business location address is:

4930 ENTERPRISE DR NW
WARREN, OH
ZIP 44481-706
Phone: (330) 787-0955

The NPI 1598766859 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 2/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LA0401XAnesthesiologyAddiction Medicine35057047OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10786378MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.