DR. MARY ANN LILLIG, D.O. - NPI NUMBER 1902899834

Summary

Provider Name: DR. MARY ANN LILLIG, D.O.

NPI Number: 1902899834

Clasification: Internal Medicine (207R00000X)

Organization: SENIOR HEALTH ASSOCIATES LLC

Address:
600 NW MURRAY RD
SUITE 210
LEES SUMMIT, MO
ZIP 64081

Phone Number: (816) 347-1532



Detailed Information

DR. Mary Ann Lillig, D.O. is an internist in Lees Summit, MO with 19 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. The assigned NPI number for this provider is 1902899834 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Graduation Year: 1995

The provider's business address is:

600 NW MURRAY RD
SUITE 210
LEES SUMMIT, MO
ZIP 64081-204
Phone: (816) 347-1532
Fax: (816) 347-1617

The enumeration date for this NPI number is 8/25/2005 and was last updated on 3/6/2014.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1144578675 DR. SUSAN ROSAMOND, M.D.
Internal Medicine
1073530697 DR. JEFFREY LEWIS SCHLACHTER, D.O.
Internal Medicine
1205958782 MERITAS HEALTH CORPORATION
Internal Medicine (Cardiovascular Disease)
1023089349 QUINTIN LEE COKINGTIN, M.D.
Internal Medicine (Critical Care Medicine)
1174587422 MICHAEL R DRIKS, M.D.
Internal Medicine (Infectious Disease)
1225061344 USMAN HALEEM, M.D.
Internal Medicine
1083605083 JANIS M STEINBRECHER, DO
Internal Medicine

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207R00000X Internal Medicine 05-28496 KS No
2 207R00000X Internal Medicine 1999135661 MO Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 1902899834 MEDICAID MO
2 P01000002 MEDICARE PIN MO
3 26231025 OTHER MO BLUE SHIELD KC, MO
4 G92147 MEDICARE UPIN
5 100351420B MEDICAID KS
6 204776215 MEDICAID MO
7 P00792361 MEDICARE PIN MO
8 P00345672 OTHER KS RAILROAD MEDICARE
9 W18A208 MEDICARE PIN KS

NPI Record

No. Field Name Field Value
1 NPI 1902899834
2 Entity Type Code 1
3 Provider Last Name Legal Name LILLIG
4 Provider First Name MARY ANN
5 Provider Name Prefix Text DR.
6 Provider Credential Text D.O.
7 Provider Other Last Name DRINKHOUSE
8 Provider Other First Name MARY ANN
9 Provider Other Last Name Type Code 5
10 Provider First Line Business Practice Location Address 600 NW MURRAY RD
11 Provider Second Line Business Practice Location Address SUITE 210
12 Provider Business Practice Location Address City Name LEES SUMMIT
13 Provider Business Practice Location Address State Name MO
14 Provider Business Practice Location Address Postal Code 640811204
15 Provider Business Practice Location Address Country Code If outside U S US
16 Provider Business Practice Location Address Telephone Number 8163471532
17 Provider Business Practice Location Address Fax Number 8163471617
18 Provider Enumeration Date 8/25/2005
19 Last Update Date 3/6/2014
20 Provider Gender Code F
21 Healthcare Provider Taxonomy Code 1 207R00000X
22 Provider License Number 1 05-28496
23 Provider License Number State Code 1 KS
24 Healthcare Provider Primary Taxonomy Switch 1 N
25 Healthcare Provider Taxonomy Code 2 207R00000X
26 Provider License Number 2 1999135661
27 Provider License Number State Code 2 MO
28 Healthcare Provider Primary Taxonomy Switch 2 Y
29 Other Provider Identifier 1 1902899834
30 Other Provider Identifier Type Code 1 05
31 Other Provider Identifier State 1 MO
32 Other Provider Identifier 2 P01000002
33 Other Provider Identifier Type Code 2 08
34 Other Provider Identifier State 2 MO
35 Other Provider Identifier 3 26231025
36 Other Provider Identifier Type Code 3 01
37 Other Provider Identifier State 3 MO
38 Other Provider Identifier Issuer 3 BLUE SHIELD KC, MO
39 Other Provider Identifier 4 G92147
40 Other Provider Identifier Type Code 4 02
41 Other Provider Identifier 5 100351420B
42 Other Provider Identifier Type Code 5 05
43 Other Provider Identifier State 5 KS
44 Other Provider Identifier 6 204776215
45 Other Provider Identifier Type Code 6 05
46 Other Provider Identifier State 6 MO
47 Other Provider Identifier 7 P00792361
48 Other Provider Identifier Type Code 7 08
49 Other Provider Identifier State 7 MO
50 Other Provider Identifier 8 P00345672
51 Other Provider Identifier Type Code 8 01
52 Other Provider Identifier State 8 KS
53 Other Provider Identifier Issuer 8 RAILROAD MEDICARE
54 Other Provider Identifier 9 W18A208
55 Other Provider Identifier Type Code 9 08
56 Other Provider Identifier State 9 KS
57 Is Sole Proprietor N

Download Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 7/15/2014
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.