Individual provider Active NPI

William R Lile, DO

  • Obstetrics & Gynecology Physician
  • Pensacola, FL
National Provider Identifier
1477591238
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS7066 Issued in FL
Practice address
5153 N 9TH Ave
205
Pensacola, FL 32504-8785
Phone
(850) 416-2550
Fax
(850) 416-2539
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS7066 FL Primary

Addresses

Primary practice location

5153 N 9TH Ave
205
Pensacola, FL 32504-8785

Mailing address

PO Box 2699
Pensacola, FL 32513-2699
Phone (850) 416-2550

Other identifiers 1

IdentifierTypeStateIssuer
252042700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070305000004 FL Practitioner - Obstetrics/Gynecology 4284736646 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS7066FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. CurrentSince Jun 24, 2010 Accepting new patients
Sacred Heart Health System Inc CurrentSince Dec 1, 2001 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Dec 1, 2001 Accepting new patients
Florida Clinical Practice Association Inc Obstetrics & Gynecology Past Accepting new patients
Florida Medical Practice Plan Inc Past Accepting new patients

Locations

5149 N 9th Ave
Ste 127
Pensacola, FL 32504
Phone (850) 416-2340

4400 Bayou Blvd
Ste 36
Pensacola, FL 32503
Phone (850) 857-3733

13139 Sorrento Rd
Pensacola, FL 32507
Phone (850) 492-0543

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

5153 N 9th Ave
Ste 205
Pensacola, FL 32504
Phone (850) 416-2550

5045 Carpenter Creek Dr
Pensacola, FL 32503
Phone (850) 416-2400

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1477591238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2699",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699",
            "telephone_number": "850-416-2550",
            "fax_number": "850-416-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 N 9TH AVE",
            "address_2": "205",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048785",
            "telephone_number": "850-416-2550",
            "fax_number": "850-416-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILE",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS7066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252042700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.