Organization Active NPI

Yili Zhou LLC

  • Interventional Pain Medicine Physician
  • Lake City, FL
National Provider Identifier
1891742284
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME86840 Issued in FL
Legal business name
YILI ZHOU LLC
Practice address
440 SW Perimeter GLN
Lake City, FL 32025-0497
Phone
(386) 719-9663
Fax
(386) 719-9662
NPI assigned
May 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Authorized official

Name
Dr. Yili Zhou, M.D.
Title
Doctor
Phone
(352) 629-7011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X ME86840 FL Primary

Addresses

Primary practice location

440 SW Perimeter GLN
Lake City, FL 32025-0497

Mailing address

5525 Banana Point Dr
Okahumpka, FL 34762-3334
Phone (352) 629-7011

Other identifiers 7

IdentifierTypeStateIssuer
265587000MedicaidFL
47853OtherFLBCBS
P00264488/DD9858OtherRAILROAD MEDICARE
009381900MedicaidFL
287725OtherFLAVMED
013362500MedicaidFL
7281245OtherFLAETNA

Other names 1

  • Florida Pain and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1891742284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 BANANA POINT DR",
            "city": "OKAHUMPKA",
            "state": "FL",
            "postal_code": "347623334",
            "telephone_number": "352-629-7011",
            "fax_number": "352-629-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SW PERIMETER GLN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250497",
            "telephone_number": "386-719-9663",
            "fax_number": "386-719-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YILI ZHOU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "ZHOU",
        "authorized_official_first_name": "YILI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "352-629-7011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME86840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265587000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "47853",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00264488/DD9858",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009381900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "287725",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013362500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7281245",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Pain and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.