Active NPI
Timothy J. Lilly, D.O. & Assoc
- Internal Medicine Physician
- Grove City, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS006328L
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy J Lilly, D.O.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011775800010 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Grove City, PA
- NPI 1649258765
-
- Physician Assistant
- Montoursville, PA
- NPI 1740574565
-
- Medical Physician Assistant
- Cranberry Township, PA
- NPI 1952400459
-
- Physician Assistant
- Pensacola, FL
- NPI 1891004560
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.