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Active NPI 1962557439 Individual Practitioner Male Practitioner

Glenn B Lyda , CPO

Prosthetist • Conover, NC

Professional Overview & Biography Verified Profile Summary

Glenn Lyda, CPO is a registered healthcare professional specializing in Prosthetist in Conover, NC. Practice services are available at 3305 16TH AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3305 16th Ave Se
Suite 101

Conover, NC 286139213

Telephone 8289944808
Fax 8289944809
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Conover, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Conover, NC (234 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7795183 (NC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1972768562

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2016

Registered at 3305 16TH AVE SE, SUITE 101, CONOVER, NC 286139213 (Tel: 8289944808)

📍
Updated Business Mailing Address June 07, 2016

Registered at 3305 16TH AVE SE, SUITE 101, CONOVER, NC 286139213 (Tel: 8289944808)

👤
Provider Name / Credentials Updated June 07, 2016

Recorded as GLENN LYDA, CPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2016

Orthotist

🟢
Initial NPI Registration & Enumeration January 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1962557439
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2007
Last Update: June 07, 2016
Sole Proprietor: Yes

Mailing Address

3305 16th Ave Se, Suite 101

Conover, NC 286139213

Phone: 8289944808

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.