Todd Lilje (NPI# 1194895573, PAC ID# 7911965629) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1194895573 |
| PAC ID by PECOS | 7911965629 |
| Professional Enrollment ID | I20050131000213 |
| Full Name | Todd Lilje |
| Organization Legal Name | TIFT REGIONAL MEDICAL CENTER |
| Address |
1622 Madison Ave Tifton GA 31794-3756 |
| Phone Number | 2293885625 |
| Gender | M |
| Credential | MD |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY PRACTICE |
| Group Practice PAC ID | 5193619971 |
| Number of Group Practice Members | 228 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110095 | TIFT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1602 Madison Ave, Tifton, GA 31794-3756 | 2293864200 | TIFT REGIONAL MEDICAL CENTER |
| 1622 Madison Ave, Tifton, GA 31794-3756 | 2293885625 | TIFT REGIONAL MEDICAL CENTER |
| 901 18th St E, Tifton, GA 31794-3648 | 2293827120 | TIFT REGIONAL MEDICAL CENTER |
| 901 E 18th St, Tifton, GA 31794-3648 | 2293827120 | TIFT REGIONAL MEDICAL CENTER |
| Organization Legal Name | TIFT REGIONAL MEDICAL CENTER |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Myles Stark | Internal Medicine | Tift Regional Medical Center | 2225 Us Hwy 41 N, Tifton, GA 31794-2749 |
| Enrique Galliano | Emergency Medicine | Tift Regional Medical Center | 901 18th St E, Tifton, GA 31794-3648 |
| Latoya E Westbrook | Nurse Practitioner | Tift Regional Medical Center | 2225 Us Hwy 41 N, Tifton, GA 31794-2749 |
| Christopher Wesley Mangieri | General Surgery | Tift Regional Medical Center | 901 18th St E, Tifton, GA 31794-3648 |
| Kathryn E Thompson | Nurse Practitioner | Tift Regional Medical Center | 2225 Us Hwy 41 N, Tifton, GA 31794-2749 |
| Richard Sj Otto | Urology | Tift Regional Medical Center | 901 E 18th St, Tifton, GA 31794-3648 |
| Andrea I Choate | Anesthesiology | Tift Regional Medical Center | 2225 Us Hwy 41 N, Tifton, GA 31794-2749 |
| Gerard R. Schroeder | Anesthesiology | Tift Regional Medical Center | 901 E 18th St, Tifton, GA 31794-3648 |
| Nora A Fine | Anesthesiology | Tift Regional Medical Center | 2225 Us Hwy 41 N, Tifton, GA 31794-2749 |
| Casey Moran | Physical Therapy | Tift Regional Medical Center | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Street Address |
1622 MADISON AVE |
| City | TIFTON |
| State | GA |
| Zip | 31794-3756 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark T Brulte | Internal Medicine | Tift Regional Medical Center | 1622 Madison Ave, Tifton, GA 31794-3756 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Koester | Physical Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Brenda S Reeves | Qualified Speech Language Pathologist | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| David J Zelman | Rheumatology | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Carolyn J Felton | Rheumatology | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Rebekah Anne Foster | Qualified Speech Language Pathologist | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Amber Nicole Barker | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Joye Christina Ellis | Nurse Practitioner | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Autumn D Griffin | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Hillary D Heitzman | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Grace Anne Reed | Physical Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Find all physicians in zip 31794 | |||
| City | TIFTON |
| Zip Code | 31794 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | TIFTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Todd Lilje.
| 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.