CHARLES J LILLY MD PC NPI 1619167996

NPI Information

  • NPI: 1619167996
  • Provider Name: CHARLES J LILLY MD PC
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Address: 2890 HEALTH PARKWAY
    MOUNT PLEASANT, MI
    ZIP 48858
  • Phone: (989) 772-3886

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NPI Details

CHARLES J LILLY MD PC is an orthopaedic surgery in Mount Pleasant, MI. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. CHARLES J LILLY MD PC NPI is 1619167996. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2890 HEALTH PARKWAY
MOUNT PLEASANT, MI
ZIP 48858
Phone: (989) 772-3886
Fax: (989) 773-6267

The provider's authorized official is Charles J Lilly .
The authorized official title is Doctor and has the following contact phone number (989) 772-3886.

The enumeration date for this NPI number is 8/1/2007 and was last updated on 9/30/2008.

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
1207X00000XOrthopaedic Surgery4301048544MICHIGANYes

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
10370822OTHERMICHIGANBLUE CROSS BLUE SHIELD
2B46584MEDICARE UPINMICHIGAN
31644906MEDICAIDMICHIGAN
40P55540MEDICARE PINMICHIGAN

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: 11/21/2025

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