LILY T IM (NPI# 1033134044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033134044 |
| Entity Type | Individual |
| Full Name | LILY T IM |
| Credential | MD |
| Practice Address |
419 W Redwood St Suite 479 Baltimore MD 21201-1734 |
| Practice Telephone | 4103285918 |
| Practice Fax Number | 4103286346 |
| Mailing Telephone | 4103285918 |
| Mailing Fax Number | 4103286346 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | D0063550 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
419 W REDWOOD ST SUITE 479 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699775452 | Bahram Sina | Dermatology | 419 W Redwood St, Ste. 160, Baltimore, MD 21201-1734 | 2005-07-22 |
| 1982156659 | Melissa Marie Higgs | Nurse Practitioner | 419 W Redwood St, Suite 360, Baltimore, MD 21201-1734 | 2016-10-28 |
| 1598187205 | Monique Church | Social Worker | 419 W Redwood St, Baltimore, MD 21201-1734 | 2014-01-15 |
| 1033540208 | Margaret Louise Vincent | Social Worker | 419 W Redwood St, Baltimore, MD 21201-1734 | 2013-12-12 |
| 1174954820 | Ashley Tracy | Registered Nurse | 419 W Redwood St, Suite 500, Baltimore, MD 21201-1734 | 2013-12-05 |
| 1346689437 | Eva Devience | Ophthalmology | 419 W Redwood St, Suite 420, Baltimore, MD 21201-1734 | 2013-06-21 |
| 1982970893 | Patricia Frances Groleau | Student in an Organized Health Care Education/Training Program | 419 W Redwood St, Suite 240, Baltimore, MD 21201-1734 | 2012-03-25 |
| 1093089799 | Rebecca Madeleine Pfender | Registered Nurse | 419 W Redwood St, Suite 500, Baltimore, MD 21201-1734 | 2012-02-28 |
| 1144504390 | Richelle Joanne Cricks | Advanced Practice Midwife | 419 W Redwood St, Suite 500, Baltimore, MD 21201-1734 | 2011-10-06 |
| 1083904478 | Wanda Binns | Social Worker | 419 W Redwood St, Ste 570, Baltimore, MD 21201-1734 | 2011-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144786104 | Samir Jabbour | Ophthalmology | 600 North Wolfe Street, Johns Hopkins Hospital Wilmer E, Baltimore, MD 21287 | 2019-02-14 |
| 1609238443 | Kelley Bohm | Ophthalmology | 600 N Wolfe St Fl Cornea, Baltimore, MD 21287-0005 | 2016-03-22 |
| 1639597347 | Heather Mcdonagh Tamez | Ophthalmology | 6115 Falls Rd Ste 300, Baltimore, MD 21209-2219 | 2014-03-31 |
| 1588009765 | Thomas Vincent Johnson IIi | Ophthalmology | Wilmer Eye Institute, Johns Hopkins Hospital, 600 North Wolfe Street, Wilmer B-29, Baltimore, MD 21287-0001 | 2013-05-01 |
| 1033471099 | Brinda Muthusamy | Ophthalmology | The Wilmer Eye Institute Johns, 600 North Wolfe Street, Baltimore, MD 21287-0001 | 2012-06-14 |
| 1225398241 | Katherine Fallano | Ophthalmology | 6565 N Charles St Ste 302, Baltimore, MD 21204-5804 | 2012-05-23 |
| 1275899585 | Rowen Ophthalmology PC | Ophthalmology | 301 St.paul Place, Suite 514, Baltimore, MD 21202 | 2012-04-11 |
| 1831455153 | Tin Yan Alvin Liu | Ophthalmology | 600 N Wolfe St Rm 205, Baltimore, MD 21287-0005 | 2012-04-11 |
| 1760776629 | Katelyn Elizabeth Earls | Ophthalmology | 600 N Wolfe Street Maumenee 327, The Johns Hopkins Hospital, Wilmer Institute, Baltimore, MD 21287-9238 | 2011-06-07 |
| 1174833040 | Vincent M. Notarangelo, Md, Pa | Ophthalmology | 3001 S. Hanover Street, Suite 100, Baltimore, MD 21225 | 2010-10-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.