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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | MD066530L | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 0017391890006 | 05 |
Street Address |
1414 9TH AVE STATION MEDICAL CENTER |
City | ALTOONA |
State | PA |
Zip Code | 16602-2454 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 16602 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
Find all providers in ALTOONA |
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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.