DR. JOHN D. LILLY


Address: 2730 E Sunshine St, Springfield, MO 65804-2047
Phone: 4178830600

DR. JOHN D. LILLY (NPI# 1699816298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699816298
Entity Type Individual
Full Name DR. JOHN D. LILLY
Credential DO
Practice Address 2730 E Sunshine St
Springfield
MO 65804-2047
Mailing Address Po Box 2580
Springfield
MO 65801-2580
Practice Telephone 4178830600
Practice Fax Number 4178839443
Mailing Telephone 4178294620
Enumeration Date 2007-02-08
Last Update Date 2013-05-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 113004 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO AR BLUE SHIELD # 98752 01
MO 244015921 05

Other Providers JOHN LILLY

NPI Name Taxonomy Address Enumeration
1346510716 John Wayne Lilly Jr. Nurse Practitioner 330 N. Eisenhower Dr., Beckley, WV 25801-3140 2012-01-03
1023169620 John Paul Lilly Social Worker 286 S 600 E, Suite C, Provo, UT 84606-4779 2007-01-12
1528051711 John Richard Lilly Family Medicine 5804 Baltimore Ave, Hyattsville, MD 20781-1623 2005-08-24
1942704564 John Lilly IIi Student in an Organized Health Care Education/Training Program 1155 Mill St # W11, Reno, NV 89502-1576 2018-03-19
1144281585 John Preston Lilly Jr. Internal Medicine 1100 Grosscup Ave, Dunbar, WV 25064-3120 2006-03-28

Office Location

Street Address 2730 E SUNSHINE ST
City SPRINGFIELD
State MO
Zip Code 65804-2047

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538200134 John D. Baurichter Family Medicine 2730 E Sunshine St, Springfield, MO 65804-2047 2007-02-08
1649649773 Crystal Stillwell Nurse Practitioner 2730 E Sunshine St, Springfield, MO 65804-2047 2015-09-18
1912290461 Yuyang Tian Family Medicine 2730 E Sunshine St, Springfield, MO 65804-2047 2011-05-17
1174646889 St Johns Clinic Inc Durable Medical Equipment & Medical Supplies 2730 E Sunshine St, Springfield, MO 65804-2047 2007-04-09
1659413730 R. Michael Collison Family Medicine 2730 E Sunshine St, Springfield, MO 65804-2047 2007-02-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790393049 Kathy Forson Nurse Practitioner 1235 E. Cherokee St., Springfield, MO 65804 2020-07-22
1306498779 Anne B Summers, LLC Social Worker 1310 E. Kingsley St., Ste C, Springfield, MO 65804 2019-07-15
1790241800 Margaret Mary Hart Social Worker 1845 S Rogers Ave, Springfield, MO 65804 2019-02-13
1598254666 Casey Carr Optometrist 1229 E Seminole St Ste 110, Springfield, MO 65804 2018-05-04
1124520697 Shelby D White Behavioral Analyst 1300 E. Bradford Parkway, Springfield, MO 65804 2018-03-01
1316448343 Karl Lynham Massage Therapist 1200 E Woodhurst Dr R300, Springfield, MO 65804 2018-02-25
1699273763 Leah Wilson Counselor 1322 E Woodgate, Springfield, MO 65804 2018-01-24
1295242626 Matthew Crisp Physical Therapist 3252 E Independence St, Springfield, MO 65804 2018-01-08
1518491042 Crystal Spangler Dietitian, Registered 1965 S Fremont Ave Ste 220, Springfield, MO 65804 2017-04-11
1588012033 Jeffrey Williams Pharmacist 1235 E. Cherokee, Springfield, MO 65804 2016-05-25
Find all providers in zip 65804

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841802592 Community Health and Wellness Services, Inc. Family Medicine 312 Memorial Park Dr, Springfield, PA 19064-1714 2020-08-22
1649815796 180 Health Lifestyle Wellness Centers Family Medicine 1936 S Glenstone Ave, Springfield, MO 65804-2305 2019-11-13
1790337988 Aminat Ogun Family Medicine 520 N 4th St # 62702, Springfield, IL 62702-5238 2019-07-09
1770076622 Thomas John Schumann Family Medicine 1260 E. Woodlawn Ave, Suite 200, Springfield, PA 19064-3988 2018-06-14
1134648959 Patricia Derges Family Medicine 3259 E Sunshine St Ste Aa, Springfield, MO 65804-2114 2017-09-12
1740704667 Mercy Management of Sepa Family Medicine 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 2017-08-02
1083134902 Trevor Conner Family Medicine 1423 N Jefferson Ave, B100, Springfield, MO 65802 2017-06-21
1790215853 Vincent Marchese Family Medicine 1260 E Woodland Ave Ste 200, Springfield, PA 19064-3956 2017-06-12
1184152100 Canaan Arceneaux Family Medicine 1001 Baltimore Pike Ste 106, Springfield, PA 19064-2800 2017-06-03
1063943587 Cody Stark Rogers Family Medicine 1423 N Jefferson Ave # A100, Springfield, MO 65802-1988 2017-03-26
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 65804

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Dataset Information

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.

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