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DR. LILY WISE HARGROVE M.D. NPI 1740249317


NPI Information

NPI: 1740249317
Provider Name: DR. LILY WISE HARGROVE, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2 BOARS HEAD PL
SUITE 110
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 202-7830
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DR. Lily Wise Hargrove, M.D. is a family medicine in Charlottesville, VA. The provider is 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. DR. Lily Wise Hargrove, M.D. NPI is 1740249317. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2 BOARS HEAD PL
SUITE 110
CHARLOTTESVILLE, VA
ZIP 22903-677
Phone: (434) 202-7830
Fax: (434) 202-7823

The NPI 1740249317 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 6/13/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine0101057199VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12131900OTHERVIRGINIAMAMSI
207116M04MEDICARE PINVIRGINIA
394928OTHERVIRGINIASENTARA
4010142105OTHERVIRGINIAVA PREMIER/UNICARE
5P00233742OTHERVIRGINIAPALMETTO GBA RAILROAD
6260216OTHERVIRGINIASO HEALTH
7010142105MEDICAIDVIRGINIA
8176102OTHERVIRGINIAANTHEM SERVICES HEALTHKEE
97988480003OTHERVIRGINIACIGNA
10176102OTHERVIRGINIAANTHEM
11540261840OTHERVIRGINIATRICARE
12540261840OTHERVIRGINIAVHN
13H08133MEDICARE UPINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.