DR. RANDALL KENNETH LILLICH (NPI# 1124191838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124191838 |
| Entity Type | Individual |
| Full Name | DR. RANDALL KENNETH LILLICH |
| Credential | MD |
| Practice Address |
8166 Main St Houma LA 70360-3404 |
| Mailing Address |
5 Bourg Ct Harahan LA 70123-4422 |
| Practice Telephone | 8004569121 |
| Practice Fax Number | 2147122487 |
| Mailing Telephone | 5047385851 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 014665 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
8166 MAIN ST |
| City | HOUMA |
| State | LA |
| Zip Code | 70360-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760455240 | Donald K Austin | Nurse Anesthetist, Certified Registered | 8166 Main St, Houma, LA 70360-3404 | 2006-02-07 |
| 1992334700 | Rebecca Hope Hattabaugh | Nurse Practitioner | 8166 Main St, Houma, LA 70360-3404 | 2020-04-03 |
| 1821638099 | Michael Falgout | Nurse Anesthetist, Certified Registered | 8166 Main St, Houma, LA 70360-3404 | 2020-01-15 |
| 1851855639 | Tiffany Picou Seely | Nurse Practitioner | 8166 Main St, Houma, LA 70360-3404 | 2019-01-26 |
| 1568985612 | Paeon Health Services Inc | Internal Medicine | 8166 Main St, Houma, LA 70360-3404 | 2017-07-20 |
| 1851829311 | Drew Eschete | Specialist/Technologist | 8166 Main St, Houma, LA 70360-3404 | 2017-05-30 |
| 1053857847 | Ryan Michael Coyne | Nurse Anesthetist, Certified Registered | 8166 Main St, Houma, LA 70360-3404 | 2017-01-17 |
| 1326598434 | Physician Practice Partners | Specialist | 8166 Main St, Houma, LA 70360-3404 | 2016-10-12 |
| 1023568201 | Physician Practice Partners | Nurse Practitioner | 8166 Main St, Houma, LA 70360-3404 | 2016-10-11 |
| 1558721829 | Sahara Emergency Physicians, LLC | Physician Assistant | 8166 Main St, Houma, LA 70360-3404 | 2016-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382697 | Start Corporation | Clinic/Center | 106 School Street, Houma, LA 70360 | 2020-09-24 |
| 1013474196 | Christi Thibodeaux Rodrigue | Case Manager/Care Coordinator | 427west Tunnel Blvd, Houma, LA 70360 | 2019-02-26 |
| 1053801415 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1420 Saint Charles St, Houma, LA 70360 | 2018-05-11 |
| 1447780044 | Shakira Harding | Counselor | 148 Columbus Street, Houma, LA 70360 | 2017-06-15 |
| 1639608995 | Rakitha Monique Volter-jones | Counselor | 6522 West Main Street, Houma, LA 70360 | 2017-06-08 |
| 1588103469 | Eyecare Specialties | Ophthalmology | 564 Valhi Blvd, Houma, LA 70360 | 2017-02-13 |
| 1538605464 | Houma Dental Associates, LLC | Dentist | 5934 West Main St, Houma, LA 70360 | 2017-01-17 |
| 1649721143 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 143 War Horse Place, Houma, LA 70360 | 2016-10-19 |
| 1528417045 | Mandi Gaubert Bonvillain | Psychologist | 1018 Verrett Street, Houma, LA 70360 | 2016-06-06 |
| 1295182434 | Kerry M Guidry | Chiropractor | 6902 West Main Street, Houma, LA 70360 | 2016-05-18 |
| Find all providers in zip 70360 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306945316 | Ryan Thomas Bird | Emergency Medicine | 131 Corporate Dr, Houma, LA 70360-2767 | 2006-09-22 |
| 1316965783 | Jonathan Allen | Emergency Medicine | 121 Autumn Dr, Houma, LA 70360-6099 | 2006-07-17 |
| 1083883474 | Michael E Isabelle Md Apmc | Emergency Medicine | 8166 Main St, Houma, LA 70360-3404 | 2008-02-29 |
| 1629259478 | Gerald Kane O'bryan | Emergency Medicine | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2007-11-21 |
| 1871785071 | Robert Charles Blossman | Emergency Medicine | 1978 Industrial Blvd, Houma, LA 70363-7055 | 2007-08-13 |
| 1073704540 | Stephen C Lim | Emergency Medicine | 1978 Industrial Blvd, Houma, LA 70363-7055 | 2007-08-08 |
| 1801001227 | Laura Elizabeth Mutter | Emergency Medicine | 1978 Industrial Blvd, Houma, LA 70363-7055 | 2007-05-10 |
| 1306982210 | Owen M Grossman | Emergency Medicine | 8166 Main St, Houma, LA 70360-3404 | 2007-01-29 |
| 1508930231 | Howard James Neumann | Emergency Medicine | 8166 Main St, Houma, LA 70360-3404 | 2006-11-17 |
| 1134292345 | Jay C Alexius | Emergency Medicine | 8166 Main St, Houma, LA 70360-3404 | 2006-11-16 |
| Find all providers in HOUMA | ||||
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| 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.