Active NPI
Lill Family Medicine Center, Inc
- Family Medicine Physician
- Lenexa, KS
National Provider Identifier
1124146337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05-25763
- Legal business name
- LILL FAMILY MEDICINE CENTER, INC
- Practice address
- 15325 W 95TH St
Lenexa, KS 66219-1262 - Phone
- (913) 310-9711
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susan R Lill, D.O.
- Title
- President
- Phone
- (913) 310-9711
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05-25763 | KS | Primary |
Addresses
Primary practice location
15325 W 95TH St
Lenexa, KS 66219-1262
Mailing address
15325 W 95TH St
Lenexa, KS 66219-1262
National Provider Directory
National Provider DirectoryLocations
15325 W 95th St
Lenexa, KS 66219
Phone (913) 310-9711
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124146337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15325 W 95TH ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "662191262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15325 W 95TH ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "662191262",
"telephone_number": "913-310-9711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LILL FAMILY MEDICINE CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LILL",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "913-310-9711",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KS",
"license": "05-25763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.