Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lily Megan Whiteside, PA-C

Individual provider Physician Assistant · NPI 1558099929

Lily Megan Whiteside, PA-C is a Physician Assistant in Kettering, Ohio. Qualified in 2022, 4 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Ohio.

Years since qualifying
4
Licensed in
MN, OH
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3700 Southern Blvd Ste 300
Kettering, OH 45429-1265
Phone: (937) 643-9299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 909 Fulton St Se, Minneapolis, MN 55455-4800 — (612) 273-8383

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.009369RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 14239 (MN)

Record details

NPI number1558099929
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 12, 2022
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Kettering