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RONALD ERIC LILLY M.D., NPI 1760489017

Thoracic Surgery (Cardiothoracic Vascular Surgery) in FOND DU LAC, WI

Last Updated on : Oct 20,2020

RONALD ERIC LILLY M.D., NPI 1760489017

About RONALD ERIC LILLY (NPI 1760489017)


RONALD ERIC LILLY is a Thoracic Surgery (Cardiothoracic Vascular Surgery) provider in FOND DU LAC, United States. His medical specialization is Thoracic Surgery (Cardiothoracic Vascular Surgery) .

1760489017 is NPI number of RONALD ERIC LILLY.

RONALD ERIC LILLY's primary taxonomy code based on NPI Lookup is 208G00000X with license number 49100-20. This taxonomy code refers to Thoracic Surgery (Cardiothoracic Vascular Surgery).

RONALD ERIC LILLY has more than 16 years of experience.

RONALD ERIC LILLY current practice location address is 420 E DIVISION ST, FOND DU LAC, WI. RONALD ERIC LILLY can be reached out via phone at 920-926-8231 and via fax at 920-926-8997 .

You can also correspond with RONALD ERIC LILLY through mail at mailing address 420 E DIVISION ST, FOND DU LAC, WI, United States. Mailing address contact number is 920-926-8340.

The enumeration date of RONALD ERIC LILLY is 01-Jul-2005. The provider is registered as an Individual and the NPI record was last updated 2 years ago.

1760489017 NPI Information

Basic NPI information of RONALD ERIC LILLY (NPI 1760489017) is provided below.

Name RONALD ERIC LILLY
National Provider Id (NPI) 1760489017
Entity Type Individual
Gender M
Credential M.D.
Practice Address 420 E DIVISION ST,
FOND DU LAC, WI, United States
Practice Telephone 920-926-8231
Practice Fax Number 920-926-8997
Mailing Address 420 E DIVISION ST ,
FOND DU LAC, WI, United States
Mailing Telephone 920-926-8340
Mailing Fax Number 920-926-8370
Enumeration Date 01-Jul-2005
Last Updated Date 20-Oct-2020

RONALD ERIC LILLY (NPI 1760489017) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) 49100-20 WI

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

RONALD ERIC LILLY (NPI 1760489017) Secondary Taxonomy Information

The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.

Primary Taxonomy Code Clasification License Number License State
N 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) 106050 RI

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
1760489017 MEDICAID (05) WI
0000000783 Other (non-Medicare) (01) RI Blue Cross & Blue Shield
007010076 MEDICARE UPIN (02) RI
043T 73-601 MEDICARE PIN (08) WI
18-02117 Other (non-Medicare) (01) RI United Health New England
H37494 MEDICARE UPIN (02) RI
408572 Other (non-Medicare) (01) RI RI Blue Chip
68-086 0365 MEDICARE PIN (08) WI
7000899 MEDICAID (05) RI

RONALD ERIC LILLY (NPI 1760489017) Office Location

Office location of RONALD ERIC LILLY is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1699753517 JEFFREY L WALTERS Chiropractor 97 S PIONEER RD, SUITE 100
FOND DU LAC, WI, United States
03-Jan-2006
1306993589 AURORA MEDICAL GROUP, INC. Durable Medical Equipment & Medical Supplies 3000 W MONTANA ST,
MILWAUKEE, WI, United States
03-Jan-2007
1104973734 PAUL J. SVOBODA Dentist, Periodontics 525 E DIVISION ST,
FOND DU LAC, WI, United States
04-Jan-2007
1770820284 AMY MARIE JONES Occupational Therapist 459 E 1ST ST,
FOND DU LAC, WI, United States
04-Jan-2013
1801944160 ROUNDYS SUPERMARKETS INC Pharmacy 760 W JOHNSON ST,
FOND DU LAC, WI, United States
05-Jan-2007
1427106657 SARAH SCHULTZ Specialist/Technologist, Athletic Trainer 585 SOUTH ST,
GREEN LAKE, WI, United States
05-Jan-2007
1144466608 FOND DU LAC PSYCHIATRY LLC Clinic/Center, Medical Specialty 1020 S MAIN ST, SUITE A
FOND DU LAC, WI, United States
05-Jan-2009
1093952384 CONSULTANTS LABORATORY OF WI, LLC Clinical Medical Laboratory 912 S HICKORY ST,
FOND DU LAC, WI, United States
08-Jan-2009
1346740081 REBEKAH JOY RICHARDSON Registered Nurse N142W6300 CONCORD ST,
CEDARBURG, WI, United States
20-Feb-2018
1619025889 CITY OF FOND DU LAC Ambulance, Land Transport 160 S MACY ST, PO BOX 150
FOND DU LAC, WI, United States
06-Jan-2007
1790921112 JULIE KACZOR Registered Nurse 50 N PORTLAND ST,
FOND DU LAC, WI, United States
07-Jan-2009
1043727324 KAITLYN KENEALY Counselor, Professional 196 3RD ST,
FOND DU LAC, WI, United States
08-Jan-2018
1598272809 ELLEN WENDLANDT Licensed Practical Nurse PO BOX 104,
BROWNSVILLE, WI, United States
08-Jan-2018
1629127766 PATRICK J KNOWLES Psychologist, Clinical 418 WILSON AVE,
FOND DU LAC, WI, United States
09-Jan-2007
1962975292 TYLER SCHWARZ Specialist/Technologist, Athletic Trainer N7511 MEADOWVIEW DR,
FOND DU LAC, WI, United States
09-Jan-2019
1821077801 CHARLES P BENNETT Anesthesiology 420 E DIVISION ST,
FOND DU LAC, WI, United States
10-Jan-2006
1669521233 DELTA CENTER LLC Clinic/Center, Mental Health (Including Community Mental Health Center) 196 E THIRD STREET,
FOND DU LAC, WI, United States
10-Jan-2007
1104120864 SUSAN B RIEK Nurse Practitioner, Family 420 E DIVISION ST,
FOND DU LAC, WI, United States
10-Jan-2011
1811267750 KELLY ANN WINK Speech-Language Pathologist, W4502 DOGWOOD LN,
FOND DU LAC, WI, United States
10-Jan-2012
1487076378 BENJAMIN J PICKART Audiologist-Hearing Aid Fitter 8800 SE SUNNYSIDE RD STE 300N,
CLACKAMAS, OR, United States
10-Jan-2014

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1760489017?

1760489017 is the NPI number of RONALD ERIC LILLY.

What is the specialty for RONALD ERIC LILLY?

The Specialty of RONALD ERIC LILLY is Thoracic Surgery (Cardiothoracic Vascular Surgery).

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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