Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lyle D Pahnke Jr., MD

Individual provider Family Medicine Physician · NPI 1770538225

Lyle D Pahnke Jr., MD is a General Surgery in Centralia, Illinois. Qualified in 1970, 56 years ago. Practices with St Marys Hospital Centralia Illinois, a 121-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
56
Licensed in
IL
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 N Pleasant Ave
Centralia, IL 62801-3056
Phone: (618) 436-6318
Fax: (618) 436-6386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 302 Broadway St, Mount Vernon, IL 62864-5116 — (618) 242-4750

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 036089773 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036089773 (IL)
Surgery Physician Taxonomy 208600000X · Licence 036089773 (IL)

Record details

NPI number1770538225
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesVASCULAR SURGERY
Medical schoolOTHER
Graduated 1970 (56 years in practice)
Group practice St Marys Hospital Centralia Illinois — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Centralia