SCOTT G LILLY (NPI# 1841252145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841252145 |
| Entity Type | Individual |
| Full Name | SCOTT G LILLY |
| Credential | DDS, MD |
| Practice Address |
350 S 40th St Muskogee OK 74401-4915 |
| Practice Telephone | 9186830753 |
| Practice Fax Number | 9186875251 |
| Mailing Telephone | 9186830753 |
| Mailing Fax Number | 9186875251 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2008-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
21684 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932263274 | Scott Matthew Lilly | Internal Medicine | 410 W 10th Ave, Columbus, OH 43210-1240 | 2006-12-21 |
| Street Address |
350 S 40TH ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-4915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225015027 | Roger Alan Nevling | Physician Assistant | 350 S 40th St, Muskogee, OK 74401-4915 | 2005-12-22 |
| 1003446451 | Ifeoma Nneka Mozie | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2020-01-23 |
| 1326678186 | Nelly Njaramba | Clinical Nurse Specialist | 350 S 40th St, Muskogee, OK 74401-4915 | 2020-01-21 |
| 1710525019 | Mercy Ifeoma Ugwu | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-12-17 |
| 1760020606 | Tess Visitacion De Jesus | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-12-10 |
| 1386291037 | Marlo Annette Barnes-davis | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-08-19 |
| 1114490968 | Robert Lee Jones Jr. | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-01-04 |
| 1366914434 | Jennifer Lynn Adoh | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2018-12-29 |
| 1295248581 | Shellye Simmons | Registered Nurse | 350 S 40th St, Muskogee, OK 74401-4915 | 2017-11-09 |
| 1326575788 | Terri Lynn Rickerson | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2017-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740381011 | Hani George Jumean | Internal Medicine | 3206 W Okmulgee Ave, Muskogee, OK 74401 | 2006-09-26 |
| 1831379361 | Muskogee Cancer Clinic Inc PC | Internal Medicine | 3206 W Okmulgee Ave, Muskogee, OK 74401 | 2007-11-13 |
| 1043257413 | Ravikumar Vasireddy | Internal Medicine | 301 N. 32nd St., Muskogee, OK 74401-5037 | 2006-06-02 |
| 1851348700 | Syed Fuad Hassany | Internal Medicine | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548725302 | Saint Medical Group, LLC | Internal Medicine | 3525 Nw 56th St Ste 150c, Oklahoma City, OK 73112-4516 | 2019-02-06 |
| 1659886893 | Ssm Healthcare of Oklahoma, Inc | Internal Medicine | 1614 Professional Cir, Yukon, OK 73099-6314 | 2017-12-11 |
| 1114430022 | Ssm Health Care of Oklahoma Inc | Internal Medicine | 3525 Nw 56th St Ste 100d, Oklahoma City, OK 73112-4549 | 2017-11-14 |
| 1821528662 | Cancer Centers of Southwest Oklahoma, LLC | Internal Medicine | 210 South Mary Bailey Drive, Chickasha, OK 73018 | 2017-06-14 |
| 1730403882 | Oklahoma Oncology and Hematology, P.C. | Internal Medicine | 1810 E 15th St, Tulsa, OK 74104-4611 | 2010-03-18 |
| 1851615918 | Oklahoma Oncology and Hematology, P.C. | Internal Medicine | 1220 W Willow Rd Ste A, Enid, OK 73703-2529 | 2010-03-18 |
| 1902137540 | Hassan Hatoum | Internal Medicine | 800 Ne 10th St. Okcc 2001-6, Stephenson Cancer Center//university of Oklahoma Health, Oklahoma City, OK 73104 | 2010-01-21 |
| 1235397654 | Agnel Rajani Raparthi | Internal Medicine | 800 Ne 10th St # 6071, Oklahoma City, OK 73104-5418 | 2008-06-02 |
| 1225229461 | Roseleen Sadruddin Charania | Internal Medicine | 1227 E 9th St, Edmond, OK 73034-5708 | 2007-08-05 |
| 1629282389 | Christopher Mark Manus | Internal Medicine | 3470 E Frank Phillips Blvd, Bartlesville, OK 74006-2406 | 2007-05-10 |
| Find all providers with the same taxonomy | ||||
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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.