Joel D. Lilly, MD PS

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD000127366 Issued in WA

Legal business name

JOEL D. LILLY, MD PS

Practice address

1221 Madison St
Suite 1210
Seattle, WA 98104-3588

Phone

(206) 292-6488

Fax

(206) 623-2436

NPI assigned

Dec 27, 2012

Last updated

Jan 4, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joel D Lilly, M.D. PS

Title

Physician

Phone

(206) 292-6488

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1154667863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 MADISON ST",
            "address_2": "SUITE 1210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043588",
            "telephone_number": "206-292-6488",
            "fax_number": "206-623-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MADISON ST",
            "address_2": "SUITE 1210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043588",
            "telephone_number": "206-292-6488",
            "fax_number": "206-623-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL D. LILLY, MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "206-292-6488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. PS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD000127366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Seattle, WA
• Providers in Seattle, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.