LILA A WALLIS (NPI# 1871724278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871724278 |
| Entity Type | Individual |
| Full Name | LILA A WALLIS |
| Credential | M.D. |
| Practice Address |
440 Milan Hollow Rd Rhinebeck NY 12572-3103 |
| Practice Telephone | 8458766058 |
| Practice Fax Number | 8458766058 |
| Mailing Telephone | 8458766058 |
| Mailing Fax Number | 8458766058 |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
073742 | NY | Allopathic & Osteopathic Physicians |
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
073742 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
440 MILAN HOLLOW RD |
| City | RHINEBECK |
| State | NY |
| Zip Code | 12572-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154934222 | Jennifer Lansky | Counselor | 7085 U.S. 9, Rhinebeck, NY 12572 | 2020-08-28 |
| 1619594942 | Aleena Shaukat | Student in an Organized Health Care Education/Training Program | 6511 Spring Brook Avenue, Rhinebeck, NY 12572 | 2020-07-02 |
| 1801315916 | Integral Psychology Circle | Psychologist | 6565 Spring Brook Avenue, Suite 5, Rhinebeck, NY 12572 | 2017-09-11 |
| 1982145769 | Patricia O'connell | Nurse Practitioner | 500 Milan Hollow Road, Rhinebeck, NY 12572 | 2017-03-14 |
| 1346629995 | Damian Family Care Centers, Inc. | Clinic/Center | 216 Fox Hollow Road, Rhinebeck, NY 12572 | 2015-05-28 |
| 1295167849 | Colleen Dunderdale | Registered Nurse | 6339 Mill Street, Aston, Rhinebeck, NY 12572 | 2013-08-06 |
| 1629348826 | Bonnie Lynn Murphy | Registered Nurse | 45 North Park Rd, Rhinebeck, NY 12572 | 2012-01-04 |
| 1750665568 | Patricia Webb Goodemote | Speech-Language Pathologist | 466 Schultzhill Road, Rhinebeck, NY 12572 | 2011-09-29 |
| 1558599852 | Linda Adepoju | Surgery | 6511 Spring Brook Ave Ste 1004, Rhinebeck, NY 12572 | 2009-06-24 |
| 1225271794 | Amanda Meglio | Acupuncturist | 6511 Springbrook Ave., 6, Rhinebeck, NY 12572 | 2009-04-14 |
| Find all providers in zip 12572 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271629 | Cecelia Health, Inc. | Internal Medicine | 355 Lexington Ave # 12f, New York, NY 10017-6603 | 2020-10-02 |
| 1679199608 | Mount Sinai School of Medicine | Internal Medicine | 2209 Merrick Rd Ste 100, Merrick, NY 11566-4770 | 2020-06-25 |
| 1033677810 | Sarah Fishman Md, Phd PC | Internal Medicine | 121 E 60th St Apt 3b, New York, NY 10022-1164 | 2019-03-11 |
| 1861969404 | Mt Endocrinology PC | Internal Medicine | 984 N Broadway Ste 305, Yonkers, NY 10701-1308 | 2018-11-01 |
| 1306389523 | Dina Zaqqa | Internal Medicine | 76 Adams Rd, Saratoga Springs, NY 12866-9008 | 2016-11-19 |
| 1740731876 | Beth Anne Piper | Internal Medicine | 104 Union Ave Ste 801, Syracuse, NY 13203-1844 | 2016-10-24 |
| 1023487394 | Michael Berelowitz | Internal Medicine | 415 E 37th St Apt 36c, New York, NY 10016-3261 | 2015-09-17 |
| 1316326317 | Westchester Endrocrinology Pllc | Internal Medicine | 265 Hardscrabble Rd, Briarcliff Manor, NY 10510-1802 | 2015-05-22 |
| 1730577602 | Nicseb Medical PC | Internal Medicine | 103 W 117th St, Ph, New York, NY 10026-2963 | 2014-12-31 |
| 1962812529 | Maria Teresa Anton | Internal Medicine | 9965 64th Rd Apt 5f, Rego Park, NY 11374-2684 | 2014-05-05 |
| 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.