MICHAEL H LILLY AA NPI 1063430668

NPI Information

NPI: 1063430668
Provider Name: MICHAEL H LILLY, AA
Classification: Anesthesiologist Assistant - 367H00000X
Entity Type: Individual
Address:
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-7330
Get Directions

Michael H Lilly, AA is an anesthesiologist assistant in Cleveland, OH. The provider is an individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. Michael H Lilly, AA NPI is 1063430668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106-716
Phone: (216) 844-7330

The enumeration date for this NPI number is 7/18/2006 and was last updated on 5/14/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	367H00000X	Anesthesiologist Assistant		67-000016	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0583328	OTHER	OHIO	BCMH
2	2749780	MEDICAID	OHIO
3	000000232168	OTHER	OHIO	UNISON
4	430037561	OTHER	OHIO	RAILROAD MEDICARE
5	P00398032	OTHER	OHIO	MEDICARE RAILROAD
6	415001	OTHER	OHIO	WELLCARE MEDICAID
7	7818960	OTHER	OHIO	AETNA
8	000000515969	OTHER	OHIO	ANTHEM
9	LI7239231	MEDICARE PIN	OHIO
10	LI8239331	MEDICARE PIN	OHIO

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

NPI Synchronization or Removal

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