MARTIN LILLYSTONE (NPI# 1215105655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215105655 |
| Entity Type | Individual |
| Full Name | MARTIN LILLYSTONE |
| Practice Address |
4949 Coolidge Hwy Royal Oak MI 48073-1026 |
| Practice Telephone | 2486555900 |
| Practice Fax Number | 2486555901 |
| Mailing Telephone | 2486555900 |
| Mailing Fax Number | 2486555901 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
Behavioral Health & Social Service Providers |
| Street Address |
4949 COOLIDGE HWY |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013907112 | Thomas A Mladsi | Internal Medicine | 4949 Coolidge Hwy, Royal Oak, MI 48073 | 2005-10-28 |
| 1063040160 | Lauren Salens | Occupational Therapist | 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | 2020-04-01 |
| 1598395782 | Marina Bacus | Physical Therapist | 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | 2020-01-16 |
| 1528603834 | Kassandra L Lewan | Physical Therapist | 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | 2019-11-11 |
| 1861058869 | Kristen Ross | Counselor | 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | 2019-05-15 |
| 1881165587 | Erica Little | Physical Therapist | 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | 2018-12-07 |
| 1770053662 | Lisa Marie Mammoser | Speech-Language Pathologist | 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | 2018-12-04 |
| 1235609868 | Jennifer Elaine Maurer | Speech-Language Pathologist | 4949 Coolidge Hwy, Royal Oak, MI 48073 | 2018-11-27 |
| 1144798919 | Elisabeth Kay-fischer Mccourt | Speech-Language Pathologist | 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | 2018-11-09 |
| 1275001281 | Kristine Rutkowski | Speech-Language Pathologist | 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | 2018-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 103TE1100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Exercise & Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255856522 | Lakina Moseley | Psychologist | 19601 Crusade St, Detroit, MI 48205 | 2017-08-08 |
| 1912332693 | Elizabeth J Cancel | Psychologist | 21010 Saint Gertrude St, Saint Clair Shores, MI 48081-1170 | 2013-09-12 |
| 1629627328 | Brooklyn M Dolloff | Psychologist | 2700 Hamlin Blvd, Inkster, MI 48141-2206 | 2019-09-05 |
| 1013379577 | Jehricole Olenzuk | Psychologist | 829 Forest Hill Ave Se, Grand Rapids, MI 49546-2325 | 2016-03-24 |
Please comment or provide details below to improve the information on MARTIN LILLYSTONE.
| 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.