WILLIAM C LILLYDAHL (NPI# 1770568982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770568982 |
| Entity Type | Individual |
| Full Name | WILLIAM C LILLYDAHL |
| Credential | M.D. |
| Practice Address |
2750 Broadway St Boulder CO 80304-3573 |
| Practice Telephone | 3034403000 |
| Mailing Telephone | 3034403000 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2012-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 20786 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
2750 BROADWAY ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-3573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537078 | Emma E.k. Mccarty | Internal Medicine | 2750 Broadway St, Boulder, CO 80304-3573 | 2005-06-09 |
| 1528675121 | Jennifer Turf | Pharmacist | 2750 Broadway St, Boulder, CO 80304-3586 | 2020-09-28 |
| 1174130702 | Dave Milton | Pharmacist | 2750 Broadway St, Boulder, CO 80304-3586 | 2020-09-28 |
| 1437778057 | Poudre Valley Medical Group, LLC | Internal Medicine | 2750 Broadway St, Boulder, CO 80304-3573 | 2020-04-14 |
| 1013551852 | Reform Health & Rehab, LLC | Clinic/Center | 2750 Broadway St, Boulder, CO 80304-3573 | 2019-11-05 |
| 1477101608 | Boulder Community Health | Clinic/Center | 2750 Broadway St, Boulder, CO 80304-3586 | 2019-08-30 |
| 1144878208 | Boulder Community Health | Clinical Medical Laboratory | 2750 Broadway St, Boulder, CO 80304-3573 | 2019-08-30 |
| 1114579950 | Aaron M Shaver | Physical Therapist | 2750 Broadway St, Boulder, CO 80304-3573 | 2019-07-11 |
| 1962973099 | Alena Mecomber | Social Worker | 2750 Broadway St, Boulder, CO 80304-3573 | 2018-12-16 |
| 1396227864 | Kelly Korte | Nurse Practitioner | 2750 Broadway St, Boulder, CO 80304-3573 | 2018-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316933484 | Donald A Maschka | Otolaryngology | 4745 Arapahoe Ave, Suite 130, Boulder, CO 80303-1080 | 2005-09-23 |
| 1811330905 | Andrew Paul Johnson | Otolaryngology | 5495 Arapahoe Ave, Boulder, CO 80303 | 2013-04-09 |
| 1245464692 | Mark Hunter | Otolaryngology | 2750 Broadway St, Boulder, CO 80304-3573 | 2009-05-13 |
| 1194948026 | Boulder Valley Ear Nose & Throat Associates PC | Otolaryngology | 4745 Arapahoe Ave, Suite 130, Boulder, CO 80303-1080 | 2007-04-10 |
| 1891713152 | Andrew C Goldman | Otolaryngology | 4745 Arapahoe Ave, Suite 130, Boulder, CO 80303-1080 | 2006-07-17 |
| 1881612141 | Don H Schilling | Otolaryngology | 4745 Arapahoe Ave, Ste 130, Boulder, CO 80303-1080 | 2006-07-17 |
| 1104844463 | David D Morrissey | Otolaryngology | 4745 Arapahoe Ave, Ste 130, Boulder, CO 80303-1080 | 2006-07-17 |
| 1194743450 | James Douglas Warren | Otolaryngology | 4745 Arapahoe Ave, Ste 130, Boulder, CO 80303-1080 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027225 | Barry Berlin | Otolaryngology | 1133 14th St Unit 3800, Denver, CO 80202-2277 | 2020-09-14 |
| 1972112472 | Portercare Adventist Health System | Otolaryngology | 9399 Crown Crest Blvd Ste 401, Parker, CO 80138-8540 | 2020-07-30 |
| 1063048528 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 14100 E Arapahoe Rd Ste 250, Centennial, CO 80112-4028 | 2020-03-17 |
| 1407482144 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 7180 E Orchard Rd Ste 202, Centennial, CO 80111-1726 | 2020-03-13 |
| 1598128266 | Edward J Hepworth Md PC | Otolaryngology | 3150 E 3rd Ave, Denver, CO 80206-5245 | 2016-03-31 |
| 1467829309 | Pikes Peak Ent | Otolaryngology | 9475 Briar Village Pt Ste 225, Colorado Springs, CO 80920 | 2015-08-26 |
| 1811376593 | Lauren Sowa | Otolaryngology | 12631 E 17th Ave # Ms 205, Aurora, CO 80045-2527 | 2015-05-27 |
| 1417343153 | Ralph Talbot Kendall | Otolaryngology | 3502 Pine Tree Sq, Colorado Springs, CO 80909-6436 | 2015-04-09 |
| 1134513351 | Planet T Hormone Replacement Center | Otolaryngology | 2631 W Colorado Ave, Colorado Springs, CO 80904-3024 | 2015-03-25 |
| 1699039156 | Catholic Health Initiatives Colorado | Otolaryngology | 11700 W 2nd Pl Ste 435, Lakewood, CO 80228-1732 | 2012-06-29 |
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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.