Theodore J Lillehei, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

29143 Issued in MN

Practice address

280 Smith Ave N Ste 311
Saint Paul, MN 55102-2465

Phone

(651) 330-3656

Fax

(651) 340-1160

NPI assigned

Feb 16, 2006

Last updated

Feb 28, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• Cardiac Surgeons of Saint Paul

  dba MN Cardiothoracic Surgeons

  • Specialist
  • Saint Paul, MN
  • NPI 1770548166
  Authorized official Same address or phone

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1619941499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SMITH AVE N",
            "address_2": "SUITE 311",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022424",
            "telephone_number": "651-330-3656",
            "fax_number": "651-340-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SMITH AVE N STE 311",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022465",
            "telephone_number": "651-330-3656",
            "fax_number": "651-340-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLEHEI",
        "first_name": "THEODORE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "29143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626878100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Psychological Services Inc
• Lighthouse Psychological Services, Inc.
• Lighthouse Transit LLC
• Christopher S Lilja, DC
• Steven L Lillehaug, MD
• Michelle Lillicrap, OTR
• Loey Lilliencrantz
• Lilydale Senior Living LLC
• Nayoung Lim
• Paul K Lim, MD

• Specialist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.