MICHAEL CHARLES LILLY (NPI# 1487653978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487653978 |
| Entity Type | Individual |
| Full Name | MICHAEL CHARLES LILLY |
| Credential | MD |
| Practice Address |
2061 Englewood Rd St 2a Englewood FL 34223-1749 |
| Mailing Address |
2061 Englewood Rd Suite 2a Englewood FL 34223-1749 |
| Practice Telephone | 9414745759 |
| Practice Fax Number | 9414740620 |
| Mailing Telephone | 9414745759 |
| Mailing Fax Number | 9414740620 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2019-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME117626 | FL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 0101236058 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010323600 | 05 | |
| VA | 010072841 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033147186 | Michael Brian Lilly | Internal Medicine | 39 Sabin Street, 725 Walton Bldg, Charleston, SC 29425 | 2006-06-29 |
| 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 |
| 1063430668 | Michael H Lilly | Anesthesiologist Assistant | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-07-18 |
| 1700887916 | Michael Peter Lilly | Surgery | 827 Linden Ave, Baltimore, MD 21201 | 2005-08-10 |
| Street Address |
2061 ENGLEWOOD RD ST 2A |
| City | ENGLEWOOD |
| State | FL |
| Zip Code | 34223-1749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232052 | Ashley Bourcier | Nurse Practitioner | 2061 Englewood Rd, Englewood, FL 34223-1749 | 2020-07-07 |
| 1275072605 | Tammy Birbeck Do Pllc | Obstetrics & Gynecology | 2061 Englewood Rd, Suite 4, Englewood, FL 34223-1749 | 2017-02-17 |
| 1033593736 | Monic Menard | Nurse Practitioner | 2061 Englewood Rd, Suite 4, Englewood, FL 34223-1749 | 2015-07-13 |
| 1730575002 | Gulf Urology of Englewood | Urology | 2061 Englewood Rd, Suite 3, Englewood, FL 34223-1749 | 2015-04-13 |
| 1104257526 | Florida Digestive Health Specialists LLP | Internal Medicine | 2061 Englewood Rd, Suite 4, Englewood, FL 34223-1749 | 2013-12-11 |
| 1003160797 | Florida Digestive Health Specialists, LLP | Internal Medicine | 2061 Englewood Rd, Suite 4, Englewood, FL 34223-1749 | 2012-11-01 |
| 1992989776 | Scott T Martz | Urology | 2061 Englewood Rd, Suite 3a, Englewood, FL 34223-1749 | 2007-12-28 |
| 1518141134 | Hector Rosa | Obstetrics & Gynecology | 2061 Englewood Rd, Ste 2, Englewood, FL 34223-1749 | 2007-12-18 |
| 1164579991 | Center for Womens Health | Clinic/Center | 2061 Englewood Rd, Ste 2, Englewood, FL 34223-1749 | 2007-01-04 |
| 1578515698 | Heartland Home Care LLC | Home Health | 2061 Englewood Rd, Suite 4, Englewood, FL 34223-1749 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180285 | Shelby Katherine Chirillo | Behavior Technician | 2500 Bobcat Center, Suite G, North Port, FL 34223 | 2018-10-16 |
| 1073022885 | Stacey Jo Seitz | Nurse Practitioner | 900 Pine Street, Suite 222, Englewood, FL 34223 | 2017-09-25 |
| 1750823688 | Bernice Cynthia Putnam | Technician | 401 E Langsner St, Englewood, FL 34223 | 2016-11-09 |
| 1003366949 | Tiffany Kristine Lamarca | Nurse Practitioner | 2061 Englewood Rd Ste 5, Englewood, FL 34223 | 2016-10-04 |
| 1336578293 | Lawrence Hale | Dentist | 701 S Indiana Ave Ste A, Englewood, FL 34223 | 2013-11-01 |
| 1730404310 | Michael A Arpasi | Hearing Instrument Specialist | 1720 S Mccall Rd Ste H, Englewood, FL 34223 | 2010-04-07 |
| 1962657452 | Amy J. Culbertson | Nurse Practitioner | 1719 Gale St, Englewood, FL 34223 | 2008-11-25 |
| 1396884433 | Cynthia J Juliao | Audiologist | 1108 Larchmont Dr, Englewood, FL 34223 | 2007-02-05 |
| 1538224092 | Cynthia Kay Davis | Obstetrics & Gynecology | 2061 Englewood Rd Ste 1, Englewood, FL 34223 | 2006-12-26 |
| 1902966146 | Dennis M Jewell Dc Pa | Chiropractor | 579 South Indiana Ave, Suite C, Englewood, FL 34223 | 2006-12-11 |
| Find all providers in zip 34223 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216990 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 601 E Hampden Ave Ste 250, Englewood, CO 80113-2781 | 2020-08-20 |
| 1881206803 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 701 E Hampden Ave Ste 210, Englewood, CO 80113-2737 | 2020-08-20 |
| 1538698212 | Travis Jeffery Bouchard | Surgery | 601 E. Hampden Ave., #220, Englewood, CA 04032 | 2017-06-07 |
| 1003343500 | Rachael Michele Galvin | Surgery | 601 E Hampden Ave # 220, Englewood, CO 80113-3781 | 2017-05-15 |
| 1194165662 | Mallory Meyer | Surgery | 601 E Hampden Ave Ste 470, Englewood, CO 80113-2797 | 2013-06-28 |
| 1659648780 | I M Ibrahim Md LLC | Surgery | 97 Engle St, Englewood, NJ 07631-2904 | 2011-11-17 |
| 1619280997 | Ahmed Mohamed Zihni | Surgery | 3333 S Bannock St Ste 350, Englewood, CO 80110 | 2010-07-15 |
| 1679899660 | Daine Thompson Bennett | Surgery | 401 W Hampden Pl Ste 210, Englewood, CO 80110-2473 | 2010-04-15 |
| 1023240785 | Krislyn N Miller | Surgery | 601 E Hampden Ave Ste 220, Englewood, CO 80113-3781 | 2009-08-13 |
| 1982806576 | Paul Terrence O'rourke | Surgery | 188 Inverness Drive W, Suite 500, Englewood, CO 80112 | 2007-06-05 |
| Find all providers in ENGLEWOOD | ||||
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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.