DR. DUSTIN N LY (NPI# 1710195268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710195268 |
| Entity Type | Individual |
| Full Name | DR. DUSTIN N LY |
| Credential | MD |
| Practice Address |
4737 Old Canoe Creek Rd Saint Cloud FL 34769-1400 |
| Practice Telephone | 4077053222 |
| Mailing Telephone | 4077053222 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2014-01-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME114777 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4737 OLD CANOE CREEK RD |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34769-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902362122 | Minh-chau Thi Tran | Nurse Practitioner | 4737 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 | 2019-02-12 |
| 1790124741 | East Lake Medical Clinic | Clinic/Center | 4737 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 | 2013-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877506 | Premier Med Pa | Clinic/Center | 2906 17th St., St Cloud, FL 34769 | 2019-02-20 |
| 1760975387 | Mayra Rosado | Psychologist | Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 | 2018-06-08 |
| 1598282113 | Salud Urgent Care LLC | Clinic/Center | 3107 13th Street, Saint Cloud, FL 34769 | 2017-08-24 |
| 1710332671 | American Healthcare Community Behavioral Services LLC | Social Worker | 1203 Florida Ave., St. Cloud, FL 34769 | 2016-04-28 |
| 1215395785 | Elite Garden | Assisted Living Facility | 4319 Neptune Road, St Cloud, FL 34769 | 2016-01-29 |
| 1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
| 1306202064 | Megan Rose Mcclave | Registered Nurse | 524 13th Street, St. Cloud, FL 34769 | 2016-01-12 |
| 1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
| Find all providers in zip 34769 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881947323 | Best of Health Medical Clinic, LLC #2 | Internal Medicine | 524 13th St, Saint Cloud, FL 34769-4531 | 2012-10-22 |
| 1417205295 | Ana Patricia Lorenzo | Internal Medicine | 4227 13th St, Saint Cloud, FL 34769-6732 | 2012-08-27 |
| 1891009494 | Edward Newton Taylor | Internal Medicine | 605 7th Ave N, Saint Cloud, MN 56303-3526 | 2010-08-06 |
| 1194926501 | Kwame Safo Ntim | Internal Medicine | 3004 17th St, Saint Cloud, FL 34769-6011 | 2007-05-31 |
| 1922101369 | Mourad Maach | Internal Medicine | 1118 Pennsylvania Ave, Saint Cloud, FL 34769 | 2006-09-07 |
| 1326150038 | Christopher Marshall Goodman | Internal Medicine | 23 Country Creek Cir, Saint Cloud, MN 56301-5682 | 2006-08-31 |
| 1003849050 | Abdul B. Lodhi | Internal Medicine | 1600 Budinger Ave Ste A, Saint Cloud, FL 34769-6007 | 2006-07-09 |
| 1578511861 | Muhammad A Hizkil | Internal Medicine | 3505 Progress Ln, Saint Cloud, FL 34769-6519 | 2006-05-05 |
| 1083684013 | Martin Joseph O'malley | Internal Medicine | 1330 Budinger Ave Ste 108, Saint Cloud, FL 34769-4137 | 2006-01-24 |
| 1750367611 | Rodolfo F Rodriguez | Internal Medicine | 2301 13th St, Saint Cloud, FL 34769-4124 | 2005-12-21 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 34769 |
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| 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.