TRACY A LILLIE


Address: 1414 9th Ave, Station Medical Center, Altoona, PA 16602-2454
Phone: 8149461655

TRACY A LILLIE (NPI# 1689650848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689650848
Entity Type Individual
Full Name TRACY A LILLIE
Credential M.D.
Practice Address 1414 9th Ave
Station Medical Center
Altoona
PA 16602-2454
Practice Telephone 8149461655
Practice Fax Number 8149497616
Mailing Telephone 8149461655
Mailing Fax Number 8149497616
Enumeration Date 2005-12-20
Last Update Date 2012-04-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD066530L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 0017391890006 05

Office Location

Street Address 1414 9TH AVE
STATION MEDICAL CENTER
City ALTOONA
State PA
Zip Code 16602-2454

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538785688 Tara Anne Benko Nurse Practitioner 1414 9th Ave, Altoona, PA 16602-2415 2020-06-24
1295378438 Q Pharma Inc Non-Pharmacy Dispensing Site 1414 9th Ave, Altoona, PA 16602-2415 2019-10-21
1174003867 Rachel Alexa Mcclain Physician Assistant 1414 9th Ave, Altoona, PA 16602-2415 2018-08-21
1285170928 Laura Christine Grassmyer Physician Assistant 1414 9th Ave, Altoona, PA 16602-2415 2017-01-18
1649713389 Upmc Altoona Regional Health Non-Pharmacy Dispensing Site 1414 9th Ave, Alto Tower Suite, Altoona, PA 16602-2415 2016-11-29
1306397153 Laura Jeffries Physician Assistant 1414 9th Ave, Altoona, PA 16602-2415 2016-10-17
1851792303 Gabrielle Dunchuck Physician Assistant 1414 9th Ave, Altoona, PA 16602-2415 2014-09-15
1457779910 Kayla Esch Physician Assistant 1414 9th Ave, Blair Medical Associates, Altoona, PA 16602-2415 2014-04-02
1356771406 Brianne J Baker Nurse Practitioner 1414 9th Ave, Altoona, PA 16602-2415 2013-11-26
1699116855 Mary Grace Murphy Physician Assistant 1414 9th Ave, Altoona, PA 16602-2415 2013-07-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043817646 John Francis Cain Registered Nurse 319 Meadowlark Ave, Altoona, PA 16602 2020-10-06
1023650991 Rahaf Obeid Pharmacist 508 E Plank Road, Altoona, PA 16602 2019-10-12
1346713641 Justin M Delasko Dietitian, Registered 905 Logan Blvd, Altoona, PA 16602 2019-01-09
1679932420 Dottie Jean Morgan Speech-Language Pathologist 501 Valley View Blvd., Altoona, PA 16602 2016-02-22
1922409283 Rite Aid of Pennsylvania LLC Durable Medical Equipment & Medical Supplies 1600 9th Avenue, Altoona, PA 16602 2014-09-05
1972918878 Grane Hospice Care, Inc. Hospice Care, Community Based 115 Union Ave Ste 100, Altoona, PA 16602 2014-06-30
1033524921 Grane Hospice Care, Inc. Home Health 115 Union Ave Ste 300, Altoona, PA 16602 2014-06-30
1306184858 Lighthouse Medical, LLC Physical Medicine & Rehabilitation 301 E. Pleasant Valley Blvd, Altoona, PA 16602 2013-01-17
1497042576 Michala Seidel Counselor 3010 7th Avenue, Alternative Community Resource Program, Altoona, PA 16602 2011-07-08
1205121647 Rebekah Brown Preventive Medicine 301 E Pleasant Valley Blvd., Altoona, PA 16602 2011-06-14
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790323608 Solidaritus Health Wisconsin Sc Family Medicine 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 2019-12-11
1952839300 Anthony R Hafez Family Medicine 501 Howard Ave Ste F4, Altoona, PA 16601-4818 2017-05-30
1154784833 Steven Long Family Medicine 3085 Meadowlark Ln, Altoona, WI 54720-2656 2016-03-31
1760898795 Matthew Nicholson Family Medicine 160 Adventureland Dr Nw Ste C, Altoona, IA 50009 2014-07-10
1013047133 Judith L. Jacobus, M.d. Family Medicine 1701 12th Ave. Bldg F, Altoona, PA 16601 2007-03-07
1639240344 Elias Mounif Rifkah Family Medicine 120 Chestnut Ave, Altoona, PA 16601-4926 2006-11-13
1780622621 Pinecroft Medical Center Family Medicine 417 Sabbath Rest Rd Ste 3, Altoona, PA 16601-7567 2006-06-03
1740230838 Jodi Hansen Ritsch Family Medicine 1476 Blazing Star Blvd, Suite 4, Altoona, WI 54720 2006-05-11
1265492458 Debra Ann Sixta Family Medicine 2720 8th St Sw, Altoona, IA 50009-1028 2006-03-23
1982670485 Joseph William Coppola Jr. Family Medicine 753 8th St Sw, Altoona, IA 50009 2006-02-24
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Competitor

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City ALTOONA
Zip Code 16602

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Dataset Information

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.

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