Organization
KEVIN J LYTHGOE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J LYTHGOE MD (PRESIDENT)
(602) 351-2229
Entity
Organization
Contact information
Practice address
530 E THOMAS RD, PHOENIX, AZ 85012-3204
(602) 351-2229
(602) 351-1500
Mailing address
530 E THOMAS RD, PHOENIX, AZ 85012-3204
(602) 351-2229
(602) 351-1500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21855
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198433
—
AZ
01
—
1Z1309
HEALTH NET
AZ
01
—
3372334
CIGNA
AZ
01
—
4198433
HEALTH CHOICE
AZ
01
—
AZ0860720
BLUE CROSS BLUE SHIELD
AZ
01
—
POB13LYTHKE1
MERCY CARE PLAN
AZ
Enumeration date
08/19/2006
Last updated
12/20/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up