Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033103833 Individual Practitioner Female Practitioner

Dr. Jeanne M Lyke , MD

Pediatrics • Ripon, WI

Professional Overview & Biography Verified Profile Summary

Dr. Jeanne Lyke, MD is a registered healthcare professional specializing in Pediatrics in Ripon, WI. Practice services are available at 835 PARKSIDE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

835 Parkside St

Ripon, WI 549718505

Telephone 9207453560
Fax 9209268370
Associated Practice Facility / Clinic
🏢 Agnesian Healthcare Inc Facility NPI 1316212954

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Ripon, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Ripon, WI (1245 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

CMS Verified: 2020-10-26
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WI 34644

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
31943400 (WI)

Practice Associates & Co-Workers

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

10 Associated Practitioners
Adriane Leonard , PA-C

Physician Assistant

NPI 1083695308

Physician Assistant (Certified)

NPI 1174599120

Doctor of Medicine (M.D.)

NPI 1194846998

Doctor of Medicine (M.D.)

Gary Dent , CRNA

Nurse Anesthetist, Certified Registered

NPI 1265519714

Certified Registered Nurse Anesthetist

Mark Kernan , CRNA

Nurse Anesthetist, Certified Registered

NPI 1609953157

Certified Registered Nurse Anesthetist

NPI 1629388475

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2015

Registered at 835 PARKSIDE ST, RIPON, WI 549718505 (Tel: 9207453560)

📍
Updated Business Mailing Address February 16, 2015

Registered at 420 E DIVISION ST, FOND DU LAC, WI 549354560 (Tel: 9209268332)

👤
Provider Name / Credentials Updated February 16, 2015

Recorded as JEANNE LYKE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2015

Pediatrics (License #34644 in WI)

🟢
Initial NPI Registration & Enumeration September 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033103833
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2005
Last Update: October 26, 2020
Sole Proprietor: No

Mailing Address

420 E Division St

Fond Du Lac, WI 549354560

Phone: 9209268332

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.