ETHELEEN OLIVIA LENGYON PA-C
NPI 1316050727
Physician Assistant in Dallas, TX

Active since August 17, 2006PECOS Enrolled
3604 LIVE OAK ST, SUITE 100, DALLAS, TX 75204(214) 358-2300(214) 366-6330 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Etheleen Olivia Lengyon Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHELEEN OLIVIA LENGYON PA-C (NPI 1316050727) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA00047) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316050727
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameETHELEEN OLIVIA LENGYONCredential: PA-C
Location Address3604 LIVE OAK ST, SUITE 100Dallas, TX 75204-6168
Mailing Address1505 Lbj Fwy Ste 700Dallas, TX 75234-6065 · (214) 358-2300 · Fax (214) 579-6941
Fax(214) 366-6330
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateDecember 15, 2023
NPPES CertifiedDecember 15, 2023
NPI 1316050727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA00047
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA00047 (TX)
3604 LIVE OAK ST, Dallas, TX 75204

Other Identifiers 1

OtherPA00047TX · Tx Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Etheleen Olivia Lengyon Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
3604 LIVE OAK ST, SUITE 300
DALLAS, TX 75204
Clinical Medical Laboratory
3604 LIVE OAK ST, SUITE 300
DALLAS, TX 75204
Clinic/Center (Radiology)
3604 LIVE OAK ST, SUITE 300
DALLAS, TX 75204
Clinic/Center (Ambulatory Surgical)
3604 LIVE OAK ST, SUITE 300
DALLAS, TX 75204
Social Worker (Clinical)
3604 LIVE OAK ST
DALLAS, TX 75204
Clinical Medical Laboratory
3604 LIVE OAK ST, STE 100
DALLAS, TX 75204
Radiology (Vascular & Interventional Radiology)
3604 LIVE OAK ST, SUITE # 100
DALLAS, TX 75204
Dietitian, Registered
3604 LIVE OAK ST, SUITE 100
DALLAS, TX 75204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316050727, enumerated as an "individual" on August 17, 2006.

The provider is located at 3604 LIVE OAK ST SUITE 100 DALLAS, TX 75204 and the phone number is (214) 358-2300.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.