Lillie R Bennett MD LTD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101018892 Issued in VA

Legal business name

LILLIE R BENNETT MD LTD

Practice address

2809 North Avenue
Suite 201
Richmond, VA 23222

Phone

(804) 321-2651

Fax

(804) 321-5985

NPI assigned

Mar 27, 2007

Last updated

Aug 22, 2020By 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

Lillie R Bennett, MDNPI 1588735955

Title

President

Phone

(804) 321-2651

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lillie R Bennett MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lillie R Bennett MD LTD

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1255456414
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lillie Robinson Bennett, MD

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1588735955
  NPD (past) Authorized official
• Richard Leroy Bennett Jr., MD

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1699834796
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386762110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 NORTH AVENUE",
            "address_2": "SUITE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23222",
            "telephone_number": "804-321-2651",
            "fax_number": "804-321-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 NORTH AVENUE",
            "address_2": "SUITE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23222",
            "telephone_number": "804-321-2651",
            "fax_number": "804-321-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIE R BENNETT MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-321-2651",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101018892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6739725",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Beacon of Hope
• Lightyear Health Clinic VA, Inc.
• Lightyear Health Clinic Virginia PC
• Emily Liles, RDN
• Lillie R Bennett MD LTD
• Elizabeth Lilliston, PA
• James David Lilly Jr., DDS
• Aaron Christopher Lim, M.D.
• Jin Sung Lim, MD
• Jin T Lim, M.D.

• Pediatrics Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Pediatrics Physician in Virginia

• 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.

Verify at the official NPI Registry.