DR. MICHAEL L LYDIC M.D. NPI 1922035690

NPI Information

NPI: 1922035690
Provider Name: DR. MICHAEL L LYDIC, M.D.
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Individual

Specialization: Reproductive Endocrinology

PECOS Registration: Yes

Address:
10777 NALL AVE
SUITE 200
OVERLAND PARK, KS
ZIP 66211
Phone: (913) 588-2229
Get Directions

DR. Michael L Lydic, M.D. is a reproductive endocrinology obstetrics gynecology in Overland Park, KS with 35 years of experience. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. DR. Michael L Lydic, M.D. NPI is 1922035690. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1989

The provider's business location address is:

10777 NALL AVE
SUITE 200
OVERLAND PARK, KS
ZIP 66211-362
Phone: (913) 588-2229
Fax: (913) 588-6258

The NPI 1922035690 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 6/27/2006 and was last updated on 3/30/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	209845	NEW YORK	No
2	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	2015041854	MISSOURI	No
3	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	04-38611	KANSAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4640733	OTHER	NEW YORK	AETNA
2	01816444	MEDICAID	NEW YORK
3	48G612	OTHER	NEW YORK	EMPIRE BC.BS
4	F62919	MEDICARE UPIN	NEW YORK

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: 4/28/2024

NPI Synchronization or Removal

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