DR. KENNETH WILLIAM LILIK (NPI# 1205817699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205817699 |
| Entity Type | Individual |
| Full Name | DR. KENNETH WILLIAM LILIK |
| Credential | M.D. |
| Practice Address |
311 Mulberry St Scranton PA 18503-1230 |
| Mailing Address |
3 W Olive St Suite 201 Scranton PA 18508-2572 |
| Practice Telephone | 5709613933 |
| Practice Fax Number | 5703424318 |
| Mailing Telephone | 5709619947 |
| Mailing Fax Number | 5703415043 |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2013-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD026664E | PA | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
MD026664E | PA | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
MD026664E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001034077001 | 05 |
| Street Address |
311 MULBERRY ST |
| City | SCRANTON |
| State | PA |
| Zip Code | 18503-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215924261 | Neurologic Subspecialties Inc | Psychiatry & Neurology | 311 Mulberry St, Scranton, PA 18503-1230 | 2005-10-04 |
| 1235616905 | Scranton Pharmacy Inc | Pharmacy | 311 Mulberry St, Scranton, PA 18503-1230 | 2018-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578124624 | Vishwadhipa Venkata Voore | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center for Grad, Suite 1, Scranton, PA 18503 | 2019-06-27 |
| 1841859717 | Sreekant Avula | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center for Gra, Suite 1, Scranton, PA 18503 | 2019-06-13 |
| 1942866124 | Kashyap Devendrabhai Kela | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center, Suite 1, Scranton, PA 18503 | 2019-05-14 |
| 1265097778 | Mary Ann Sheerer | Registered Nurse | Geisinger Women's Health Obgyn Clinic, 531 Mount Pleasant Drive, 2nd Floor, Scranton, PA 18503 | 2019-05-09 |
| 1164913950 | Nirajan Regmi | Student in an Organized Health Care Education/Training Program | 111 N Washington Avenue, Scranton, PA 18503 | 2018-05-29 |
| 1801387394 | Talha Zain Tariq | Internal Medicine | 111 N Washington Ave., Scranton, PA 18503 | 2018-05-21 |
| 1013407253 | Ashwin Thatti | Student in an Organized Health Care Education/Training Program | 111 N. Washington Avenue, Scranton, PA 18503 | 2018-05-14 |
| 1972093474 | Anjalika Gupta | Student in an Organized Health Care Education/Training Program | The Wright Center for Graduate Medical Education, 111 N Washington Ave, Scranton, PA 18503 | 2018-05-10 |
| 1073002085 | Mousa Thalji | Student in an Organized Health Care Education/Training Program | 111 N. Washington Ave., Scranton, PA 18503 | 2018-05-04 |
| 1861999849 | Tomara Wilding | Counselor | 201 Lackawanna Ave Ste 302, Scranton, PA 18503 | 2018-04-06 |
| Find all providers in zip 18503 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1013495332 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 306 S New St Ste 303, Bethlehem, PA 18015-1652 | 2018-07-30 |
| 1275875940 | Gerald F. Tremblay | Psychiatry & Neurology | 2242 Berks Rd, Lansdale, PA 19446-6026 | 2013-03-20 |
| 1548554082 | Sonika Agarwal | Psychiatry & Neurology | Buerger Center, 3500 Civic Center Blvd., Philadelphia, PA 19104 | 2011-06-01 |
| 1326369851 | Ilya Khaytin | Psychiatry & Neurology | 34st and Civic Center, Chop, Philadelphia, PA 19104 | 2010-06-18 |
| 1689869372 | Abington Pediatric Neurology Consultants,pc | Psychiatry & Neurology | 1917 Guernsey Ave, Abington, PA 19001-3701 | 2007-09-06 |
| 1508064445 | Sheila Joyce Asghar | Psychiatry & Neurology | 1010 W 8th Ave Fl 1, King of Prussia, PA 19406-1349 | 2007-07-03 |
| 1700949286 | Boosara Ratanawongsa | Psychiatry & Neurology | 961 Marcon Blvd Ste 452, Allentown, PA 18109-9366 | 2006-12-18 |
| 1477626141 | Agustin Legido | Psychiatry & Neurology | Erie Aenue, Front Street, Philadelphia, PA 19134 | 2006-11-17 |
| 1780621466 | Harold Huntley Hardison | Psychiatry & Neurology | St. Christopher's Pediatric Neurology, 3601 A Street, Philadelphia, PA 19134-1095 | 2006-06-01 |
| Find all providers with the same taxonomy | ||||
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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.