KATHRYN M LILLY (NPI# 1861873408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861873408 |
| Entity Type | Individual |
| Full Name | KATHRYN M LILLY |
| Credential | D.O. |
| Practice Address |
2414 Kohler Memorial Dr Sheboygan WI 53081 |
| Mailing Address |
2414 Kohler Memorial Dr Sheboygan WI 53081-3129 |
| Practice Telephone | 9204574461 |
| Mailing Telephone | 9204574461 |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2019-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 69458 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100079601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982029948 | Kathryn Ann Lilly | Speech-Language Pathologist | 4707 Knollwood Cir, Round Rock, TX 78681-1412 | 2014-02-27 |
| 1437131182 | Kathryn M Lilly | Otolaryngology | 4230 Harding Rd, Ste 803, Nashville, TN 37205-2013 | 2005-11-17 |
| Street Address |
2414 KOHLER MEMORIAL DR |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461481 | Tracey N Aukerman | Audiologist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2005-07-21 |
| 1124659420 | Geoffrey Wein | Pharmacist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2020-01-27 |
| 1154961050 | Stephanie L Holschbach | Nurse Practitioner | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2020-01-09 |
| 1104460872 | Amy C Konkol | Physical Therapist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2019-11-05 |
| 1891346672 | Matthew Paul Buch | Physical Therapist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2019-09-24 |
| 1073166518 | Molly E Jorde | Dietitian, Registered | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2019-07-23 |
| 1215419544 | Jayson A Haan | Occupational Therapist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2018-09-04 |
| 1841779238 | Michelle Zapinski | Registered Nurse | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2018-08-07 |
| 1023502192 | Christine Joel Debruine | Registered Nurse | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2018-06-21 |
| 1780177675 | Mallory Florence Andrews | Optometrist | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2018-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790736965 | William L Trager | Pediatrics | 2920 Superior Avenue, Sheboygan, WI 53081 | 2006-05-13 |
| 1265607337 | Amy J. Harms | Pediatrics | 2920 Superior Ave, Sheboygan, WI 53081-1944 | 2008-04-29 |
| 1134285182 | Sheboygan Pediatric Associates Sc | Pediatrics | 2920 Superior Avenue, Sheboygan, WI 53081 | 2006-12-27 |
| 1972610178 | Rolf L Simonson | Pediatrics | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-24 |
| 1588771109 | Walter T Howard | Pediatrics | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-23 |
| 1861509242 | Elise H Azuma Opel | Pediatrics | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-23 |
| 1881701183 | Steven J Pizer | Pediatrics | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-23 |
| 1801805551 | Jeffrey W Britton | Pediatrics | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-05 |
| 1700895406 | Frank M Baur | Pediatrics | 2414 Kohler Memorial Dr, Sheboygan, WI 53081 | 2006-08-05 |
| 1801847074 | Jenny K Brault | Pediatrics | 2920 Superior Ave, Sheboygan, WI 53081 | 2006-05-13 |
| Find all providers in SHEBOYGAN | ||||
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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.