MICHAEL J. LYSTER, IV D.O. – NPI #1295714590
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

MICHAEL LYSTER, IV is a physician located in SANDUSKY, OH. NPPES has assigned the NPI number 1295714590 to MICHAEL LYSTER, IV on January 13, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 5 years ago on Jan 07, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL LYSTER, IV below.

NPI Profile for
MICHAEL J. LYSTER, IV

NPI Number
1295714590
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL J. LYSTER, IV
Credentials
D.O.
Primary location
703 TYLER ST
SUITE 250
SANDUSKY, OH 44870-3367
Phone: (440) 414-9300 Fax: (216) 201-5588
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jan 07, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MICHAEL LYSTER, IV

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERANTHEMOH000000193314
OTHERCARESOURCEOH341221800115
OTHERKAISEROH85116
OTHERRAILROAD MEDICARE060063317
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
OH 34005911

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
703 TYLER ST,
SANDUSKY, OH 77025-1669