MICHAEL H LILLY (NPI# 1063430668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063430668 |
| Entity Type | Individual |
| Full Name | MICHAEL H LILLY |
| Credential | AA |
| Practice Address |
11100 Euclid Ave Cleveland OH 44106-1716 |
| Mailing Address |
3605 Warrensville Center Rd Shaker Heights OH 44122-5203 |
| Practice Telephone | 2168447330 |
| Mailing Telephone | 2162866260 |
| Mailing Fax Number | 2162866341 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 67-000016 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | UNISON | 000000232168 | 01 |
| OH | WELLCARE MEDICAID | 415001 | 01 |
| OH | MEDICARE RAILROAD | P00398032 | 01 |
| OH | BCMH | 0583328 | 01 |
| OH | 2749780 | 05 | |
| OH | ANTHEM | 000000515969 | 01 |
| OH | RAILROAD MEDICARE | 430037561 | 01 |
| OH | AETNA | 7818960 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033147186 | Michael Brian Lilly | Internal Medicine | 39 Sabin Street, 725 Walton Bldg, Charleston, SC 29425 | 2006-06-29 |
| 1487653978 | Michael Charles Lilly | Surgery | 2061 Englewood Rd, St 2a, Englewood, FL 34223-1749 | 2005-07-18 |
| 1609438803 | Michael Joseph Lilly | Dentist | 899 Reno Dr, Wayland, MI 49348-1732 | 2019-07-08 |
| 1730642331 | Michael S Lilly | Counselor | 43 Champions Ave, Big Stone Gap, VA 24219-1105 | 2019-04-10 |
| 1083111025 | Michael Lilly | Student in an Organized Health Care Education/Training Program | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2018-04-06 |
| 1700887916 | Michael Peter Lilly | Surgery | 827 Linden Ave, Baltimore, MD 21201 | 2005-08-10 |
| Street Address |
11100 EUCLID AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899927 | Joel H. Elconin | Radiology | 11100 Euclid Ave, Ireland/seidman Radiation Oncology, Cleveland, OH 44106 | 2005-05-23 |
| 1386245207 | Dalal Hamad A Alsaggabi | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-11-06 |
| 1922609809 | Melanie Wolf | Registered Nurse | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-11-05 |
| 1093313918 | Aryn Rose Pecoraro | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-10-13 |
| 1366058331 | Harun Abukar | Registered Nurse | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-16 |
| 1205442290 | Jessica Regan | Dietitian, Registered | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-16 |
| 1740895960 | Sara Lyn Stefano | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-14 |
| 1063026052 | Meredith Barker | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-07 |
| 1124631114 | Luis Augusto Palma Dallan | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-28 |
| 1023621216 | Stephanie Casto | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
| Find all providers in zip 44106 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1902347123 | Eric Klinedinst | Anesthesiologist Assistant | 2126 Murray Hill Rd Apt 1, Cleveland, OH 44106-2339 | 2017-03-20 |
| 1376949198 | Amanda Price | Anesthesiologist Assistant | 5455 N Marginal Rd, Apt. 412, Cleveland, OH 44114-3937 | 2014-11-05 |
| 1770862500 | Colleen Dwight Traud | Anesthesiologist Assistant | 1730 W. 25th St, Cleveland, OH 44113 | 2011-08-10 |
| 1528073004 | Kevin Wayne Busdiecker | Anesthesiologist Assistant | 2500 Metro Health Drive, Cleveland, OH 44109 | 2006-07-31 |
| 1487278586 | Ashwinraj Amalraj | Anesthesiologist Assistant | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-06-04 |
| 1285257154 | George William Patterson | Anesthesiologist Assistant | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-05-26 |
| 1033769799 | Michael Marcotte | Anesthesiologist Assistant | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2019-09-16 |
| 1043862816 | Emilie Lanter | Anesthesiologist Assistant | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2019-07-11 |
| 1659932960 | Jonathan Louis Rifici | Anesthesiologist Assistant | 5805 Euclid Ave, Cleveland, OH 44103-3715 | 2019-06-26 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on MICHAEL H LILLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.