Organization Active NPI

Timothy J. Lilly, D.O. & Assoc

  • Internal Medicine Physician
  • Grove City, PA
National Provider Identifier
1932316536
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS006328L Issued in PA
Legal business name
TIMOTHY J. LILLY, D.O. & ASSOC
Practice address
432 Hillcrest Ave
Suite One
Grove City, PA 16127-1730
Phone
(724) 615-9193
Fax
(724) 458-6689
NPI assigned
May 16, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Timothy J Lilly, D.O.NPI 1649258765
Title
Owner
Phone
(724) 615-9193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS006328L PA Primary

Addresses

Primary practice location

432 Hillcrest Ave
Suite One
Grove City, PA 16127-1730

Mailing address

432 Hillcrest Ave
Suite One
Grove City, PA 16127-1730
Phone (724) 615-9193

Other identifiers 1

IdentifierTypeStateIssuer
0011775800010MedicaidPA

National Provider Directory

National Provider Directory

Locations

432 Hillcrest Ave
Grove City, PA 16127
Phone (724) 615-9193

432 Hillcrest Ave
Ste 1
Grove City, PA 16127
Phone (724) 264-4190

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1932316536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 HILLCREST AVE",
            "address_2": "SUITE ONE",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271730",
            "telephone_number": "724-615-9193",
            "fax_number": "724-458-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 HILLCREST AVE",
            "address_2": "SUITE ONE",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271730",
            "telephone_number": "724-615-9193",
            "fax_number": "724-458-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J. LILLY, D.O. & ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-615-9193",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS006328L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011775800010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.