MR. NGOC LY (NPI# 1356735401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356735401 |
| Entity Type | Individual |
| Full Name | MR. NGOC LY |
| Practice Address |
363 Highland Ave Fall River MA 02720-3703 |
| Mailing Address |
200 Mill Rd Ste 180 Fairhaven MA 02719-5255 |
| Practice Telephone | 5089737558 |
| Practice Fax Number | 5089737147 |
| Mailing Telephone | 5089732000 |
| Mailing Fax Number | 5089732001 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
282453 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | LICENSE | D87066 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 160 Robbins St, Chase Outpatient Center, Waterbury, CT 067082652 | 2035737284 | 2035737031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831345214 | Ngoc Xuan Ly | Family Medicine | 3031 Plank Rd, Fredericksburg, VA 22401-4951 | 2008-08-17 |
| 1366510935 | Ngoc Ly | Dental Hygienist | 600 Ne 8th St, Gresham, OR 97030-7317 | 2006-12-01 |
| 1730113820 | Ngoc Phuong Ly | Pediatrics | 400 Parnassus Ave, 2nd Floor, San Francisco, CA 94143-2202 | 2006-07-11 |
| Street Address |
363 HIGHLAND AVE |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02720-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681742 | George S Botros | Anesthesiology | 363 Highland Ave, Fall River, MA 02720-3703 | 2005-07-06 |
| 1497365530 | Kanaan Khalil El-daher | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2020-08-04 |
| 1669004214 | Nicole Brown | Dietitian, Registered | 363 Highland Ave, Fall River, MA 02720-3703 | 2020-02-11 |
| 1558901223 | Jordan Marie Wyrick | Student in an Organized Health Care Education/Training Program | 363 Highland Ave, Fall River, MA 02720-3703 | 2020-01-10 |
| 1740821123 | Melissa F Gaffney | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2019-10-07 |
| 1720544133 | Alicia Marie Pimentel | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2019-02-11 |
| 1881164184 | Kristina V Amaral | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-11-29 |
| 1326521584 | Alyssa Oliveira | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-09-12 |
| 1891274189 | Samantha Cruz | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-08-08 |
| 1346732534 | Brianne Caitlen Santos | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960264 | Robert Walsh | Massage Therapist | 275 High Street, 1st Floor Rear, Fall River, MA 02720 | 2020-04-10 |
| 1487147252 | Patricia Mateus Peterson | Social Worker | 1561 N Main Street, Fall River, MA 02720 | 2018-06-07 |
| 1669980371 | Jolita Perez | Home Health Aide | 92 Hanover St Apt 2, Fall River, MA 02720 | 2018-01-16 |
| 1023537305 | Rebekah Shermer Woolf | Counselor | 1082 Davol St., Fall River, MA 02720 | 2017-09-18 |
| 1467977843 | Elena Amelia Cetola | Nurse Practitioner | 38 Rock St Ste 2, Fall River, MA 02720 | 2017-08-07 |
| 1477903128 | Rebecca Anne Weller | Counselor | 1082 Davol St, Fall River, Ma 02720, Fall River, MA 02720 | 2016-06-14 |
| 1811358773 | Tiana Vidal | Counselor | 1082 N Davol St., Fallriver, MA 02720 | 2016-03-18 |
| 1477925907 | David Vega | Counselor | 1082 N Davol St, Fall River, MA 02720 | 2015-10-23 |
| 1235537473 | Desire Hendricksmoreno | Counselor | 279 North Main Street, Fall River, MA 02720 | 2014-12-19 |
| 1801294160 | Rebecca Bergeron | Counselor | 1080 Davol Street, Suite 202, Fall River, MA 02720 | 2014-12-18 |
| Find all providers in zip 02720 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134694714 | Critical Care Associates, PC | Anesthesiology | 15 Little Boot Ln, Westwood, MA 02090-2648 | 2018-10-10 |
| 1861759565 | Friederike Reinsberger | Anesthesiology | 4b Cragmore Rd, Newton, MA 02464-1009 | 2012-04-18 |
| 1063665511 | Melanie Rachel Loberman | Anesthesiology | 1 Deaconess Rd # Cc-470, Boston, MA 02215-5321 | 2008-10-28 |
| 1013943067 | David John Glover | Anesthesiology | 14 Meigh Rd, Chestnut Hill, MA 02467-1327 | 2006-06-23 |
| 1306301452 | Sui An Lie | Anesthesiology | 75 Francis St, Boston, MA 02115-6110 | 2019-02-04 |
| 1952855041 | Barry Kelly | Anesthesiology | 330 Brookline Ave, Boston, MA 02215-5400 | 2016-08-07 |
| 1568859643 | Associated Physicians of Harvard Medical Faculty Physicians At Beth Is | Anesthesiology | 275 Sandwich St, Plymouth, MA 02360-2183 | 2015-04-16 |
| 1922433911 | Tamara Greaves | Anesthesiology | 75 Francis St, Department of Anesthesiology, Boston, MA 02115-6110 | 2013-09-09 |
| 1689940256 | Meaghen Erin Finan | Anesthesiology | 41 Mall Road, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 | 2012-03-28 |
| 1164797494 | Christopher Kevin Hansen | Anesthesiology | One Deaconess Road, Rosenberg, 2nd Floor, Boston, MA 02215 | 2012-03-20 |
| Find all providers with the same taxonomy | ||||
| City | FALL RIVER |
| Zip Code | 02720 |
Please comment or provide details below to improve the information on MR. NGOC LY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.