Lily Daniali (NPI# 1053553370, PAC ID# 3274858923) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1053553370 |
| PAC ID by PECOS | 3274858923 |
| Professional Enrollment ID | I20150220002016 |
| Full Name | Lily Daniali |
| Organization Legal Name | BURN AND RECONSTRUCTIVE CENTERS OF COLORADO |
| Address |
3901 W 15th St Plano TX 75075-7738 |
| Phone Number | 7068639595 |
| Gender | F |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 8224338660 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060034 | HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 601 E Hampden Ave, Suite 310, Englewood, CO 80113-2769 | 8558639595 | BURN AND RECONSTRUCTIVE CENTERS OF COLORADO |
| 3901 W 15th St, Plano, TX 75075-7738 | 7068639595 | BURN AND RECONSTRUCTIVE CENTERS OF COLORADO |
| Organization Legal Name | BURN AND RECONSTRUCTIVE CENTERS OF COLORADO |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Antoinette Williams | Physician Assistant | Burn and Reconstructive Centers of Colorado | 601 E Hampden Ave, Suite 310, Englewood, CO 80113-2769 |
| Craig Ross Lehrman | Hand Surgery | Burn and Reconstructive Centers of Colorado | 601 E Hampden Ave, Suite 310, Englewood, CO 80113-2769 |
| Benson Pulikkottil | Plastic and Reconstructive Surgery | Burn and Reconstructive Centers of Colorado | 601 E Hampden Ave, Suite 310, Englewood, CO 80113-2769 |
| Morgan Achterhoff | Physician Assistant | Burn and Reconstructive Centers of Colorado | 601 E Hampden Ave, Suite 310, Englewood, CO 80113-2769 |
| Morgen Shaff | Physician Assistant | Burn and Reconstructive Centers of Colorado | 601 E Hampden Ave, Suite 310, Englewood, CO 80113-2769 |
| Huy The Than | Nurse Practitioner | Burn and Reconstructive Centers of Colorado | 601 E Hampden Ave, Suite 310, Englewood, CO 80113-2769 |
| Samantha Delgado | Physician Assistant | Burn and Reconstructive Centers of Colorado | 601 E Hampden Ave, Suite 310, Englewood, CO 80113-2769 |
| Sarah Marie Yon | Nurse Practitioner | Burn and Reconstructive Centers of Colorado | 601 E Hampden Ave, Suite 310, Englewood, CO 80113-2769 |
| Kristie Lynn Johnson | Nurse Practitioner | Burn and Reconstructive Centers of Colorado | 601 E Hampden Ave, Suite 310, Englewood, CO 80113-2769 |
| Amanda Marie Raube-miceli | Physician Assistant | Burn and Reconstructive Centers of Colorado | 601 E Hampden Ave, Suite 310, Englewood, CO 80113-2769 |
| Street Address |
3901 W 15TH ST |
| City | PLANO |
| State | TX |
| Zip | 75075-7738 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alfredo R Lopez | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 3901 W 15th St, Plano, TX 75075-7738 |
| David L Klamer | Diagnostic Radiology | Texas Radiology Associates LLP | 3901 W 15th St, Medical Center of Plano, Plano, TX 75075-7738 |
| Robert Powell Thomas | General Surgery | Magella Medical Associates Billing Inc | 3901 W 15th St, Plano, TX 75075-7738 |
| Kimber L Foust | Internal Medicine | Questcare Intensivists Pllc | 3901 W 15th St, Plano, TX 75075-7738 |
| Sammy Duytam Pham | Diagnostic Radiology | Texas Radiology Associates LLP | 3901 W 15th St, Medical Center of Plano, Plano, TX 75075-7738 |
| James M Cross | Critical Care (intensivists) | Burn and Reconstructive Centers of Texas | 3901 W 15th St, Plano, TX 75075-7738 |
| Andrew Sanders Jr. | Certified Registered Nurse Anesthetist (crna) | Anesthesiapro Management LLC | 3901 W 15th St, Plano, TX 75075-7738 |
| David M Bush | Pediatric Medicine | Magella Medical Associates Billing Inc | 3901 W 15th St, Plano, TX 75075-7738 |
| Mario A Fierro | Pediatric Medicine | Magella Medical Associates Billing Inc | 3901 W 15th St, Plano, TX 75075-7738 |
| Jared Brown | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 3901 W 15th St, Plano, TX 75075-7738 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Howard Greenemeier | Physician Assistant | Texas Oncology Pa | 3709 W 15th St, Plano, TX 75075-1600 |
| Jay Gordon Courtright | Medical Oncology | Texas Oncology Pa | 3709 W 15th St, Plano, TX 75075-1600 |
| Roberto Rodriguez-ruesga | Colorectal Surgery (proctology) | Texas Oncology Pa | 3709 W 15th St, Plano, TX 75075-1600 |
| Christopher Thomas Stokoe | Medical Oncology | Texas Oncology Pa | 3709 W 15th St, Plano, TX 75075-1600 |
| Winston Ming Tak Chan | Colorectal Surgery (proctology) | Texas Oncology Pa | 3709 W 15th St, Plano, TX 75075-1600 |
| Hoss Mansoori | Nurse Practitioner | 3100 Independence Pkwy, Suite 103a, Plano, TX 75075-1964 | |
| Jon W Poe | Physical Therapy | Peak Physical Therapy, LLC | 3100 Independence Pkwy, Suite 321, Plano, TX 75075-1997 |
| Katy Elizabeth Johnson | Physical Therapy | Peak Physical Therapy, LLC | 3100 Independence Pkwy, Suite 321, Plano, TX 75075-1997 |
| Ngoc Diep T Nguyen | Physician Assistant | Robotic and Surgical Assistants | 2313 Parkhaven Dr, Plano, TX 75075-2014 |
| Donna J Olson | Physician Assistant | Robotic and Surgical Assistants | 2313 Parkhaven Dr, Plano, TX 75075-2014 |
| Find all physicians in zip 75075 | |||
| City | PLANO |
| Zip Code | 75075 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | PLANO + PLASTIC AND RECONSTRUCTIVE SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.