EILEEN AYE LILJEBLAD (NPI# 1669411260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669411260 |
| Entity Type | Individual |
| Full Name | EILEEN AYE LILJEBLAD |
| Other Name | AYE AYE TIN SEIN |
| Credential | MD |
| Practice Address |
602 Indiana Avenue Lubbock TX 79415 |
| Mailing Address |
Po Box 5980 Lubbock TX 79408-5980 |
| Practice Telephone | 8067758400 |
| Practice Fax Number | 8067758412 |
| Mailing Telephone | 8067758400 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2016-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
F5068 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 124937705 | 05 |
| Street Address |
602 INDIANA AVENUE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497709265 | Byron Wayne Schoettle | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-19 |
| 1932411998 | Brian Scott Payne | Pediatrics | 602 Indiana Avenue, Division of Pediatric Emergency Medicine, Lubbock, TX 79415 | 2010-07-07 |
| 1679602585 | Travis A White | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2007-03-05 |
| 1609960277 | Christy Robinson | Personal Emergency Response Attendant | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-10-03 |
| 1497784557 | Kerrie A. Pinkney | Anesthesiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-07-01 |
| 1063468031 | University Medical Center Radiology | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-25 |
| 1669426433 | Joanne Younbok Chung | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831569540 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3502 9th St Ste 280, Lubbock, TX 79415 | 2015-10-07 |
| 1922447457 | Fnu Parijat Kumar | Physical Therapist | 2717 3rd Street, Aptt 803, Lubbock, TX 79415 | 2013-06-18 |
| 1851575906 | Diego Rivera, M.d., P.a. | Family Medicine | 111 University Ave, Lubbock, TX 79415 | 2007-12-26 |
| 1730206632 | Kathleen Brinkman Felts | Physical Therapist | 3710 4th Street, Lubbock, TX 79415 | 2007-03-23 |
| 1568508521 | Horace Rueben Sharp Jr. | Optometrist | 1911 4th St, Lubbock, TX 79415 | 2007-01-29 |
| 1699876201 | Patricia R. Arledge | Plastic Surgery | 3502 9th St., Suite 270, Lubbock, TX 79415 | 2006-09-26 |
| 1245330018 | Perlita Molina Sambrano-tandoc | Nurse Practitioner | 602 East Indiana Avenue, Lubbock, TX 79415 | 2006-09-22 |
| 1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
| 1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
| 1245720838 | Kelli D'ann Harris | Registered Nurse | 808 Joliet Ave Unit 220, Lubbock, TX 79415 | 2018-05-18 |
| Find all providers in zip 79415 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780897215 | Richard Earl Wetzel | Radiology | 2301 61st St, Lubbock, TX 79412-3320 | 2007-05-08 |
| 1326191370 | Paul Atallah | Radiology | 8410 Vicksburg Ave, Lubbock, TX 79424-4026 | 2007-01-20 |
| 1790798817 | Karl T Dockray | Radiology | 1808 19th St, Lubbock, TX 79401-4811 | 2006-08-14 |
| 1497709265 | Byron Wayne Schoettle | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-19 |
| 1073519419 | Thomas Richard Windisch | Radiology | 4408 6th St, Lubbock, TX 79416-4732 | 2005-06-21 |
| 1124020318 | Brian James Bruening | Radiology | 4005 24th St, Lubbock, TX 79410-1835 | 2005-06-01 |
| 1598260515 | Concord Radiology Pllc | Radiology | 1602 Avenue Q, Lubbock, TX 79401-4732 | 2018-03-30 |
| 1861805913 | James Montgomery | Radiology | 4005 24th St, Lubbock, TX 79410-1815 | 2014-06-06 |
| 1033420781 | Kulia Kini Kakarala | Radiology | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2010-06-28 |
| 1558523357 | Grace Clinic Imaging Department | Radiology | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2008-07-02 |
| Find all providers in LUBBOCK | ||||
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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.