DR. M.D. Ronald Eric Lilly, NPI 1760489017
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Fond Du Lac, WI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1760489017
NPI Entity Type Individual
Provider Name DR. M.D. Ronald Eric Lilly
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 420 E Division St, Fond Du Lac, WI, US
Provider Mailing Address 420 E Division St, Fond Du Lac, WI, US, 549354560
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

208G00000X

Taxonomy Name Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Classification

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Group

Allopathic & Osteopathic Physicians

License No. 49100-20
License State WI
Description 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.

Business Address

DR. M.D. Ronald Eric Lilly
420 E Division St

Fond Du Lac, WI, US

Phone: 920-926-8231
Fax: 920-926-8997

Mailing Address

DR. M.D. Ronald Eric Lilly
420 E Division St
Fond Du Lac, WI, US
ZIP 549354560
Phone: 920-926-8340
Fax: 920-926-8370

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

208G00000X

Allopathic & Osteopathic Physicians

Thoracic Surgery (Cardiothoracic Vascular Surgery)

106050 RI No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1760489017 WI MEDICAID 05
7000899 RI MEDICAID 05
18-02117 RI UNITED HEALTH NEW ENGLAND 01
408572 RI RI BLUE CHIP 01
0000000783 RI BLUE CROSS & BLUE SHIELD 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] DIRECT OTHER No 420 E Division St, Fond Du Lac, WI, US
FHIR https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ OTHER OTHER No 420 E Division St, Fond Du Lac, WI, US

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Fort Healthcare, Inc

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Home Health Agency

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