Physician Compare National (NPI:1962795500)

HEALTHCARE PROVIDER: ROBERT C LYONS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1962795500
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557661675
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190708002068
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LYONS
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	CARDIAC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	THORACIC SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	THORACIC SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	IHA HEALTH SERVICES CORPORATION
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2466351440
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	638
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	5325 ELLIOTT DR
	Group Practice or individual's line 1 address
Line 2 Street Address	102 IHA CARDIOVASCULAR AND THORACIC SURGEONS
	Group Practice or individual's line 2 address
City	YPSILANTI
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	481978633
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7347125500
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	230156
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST JOSEPH MERCY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y