Kao J Ly (NPI# 1164924858, PAC ID# 4486918224) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164924858 |
| PAC ID by PECOS | 4486918224 |
| Professional Enrollment ID | I20180503000842 |
| Full Name | Kao J Ly |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Address |
6431 Old Plank Rd High Point NC 27265-3274 |
| Phone Number | 3368756530 |
| Gender | F |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1153234893 |
| Number of Group Practice Members | 1778 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340014 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1622 Highwoods Blvd, Unit G105, Greensboro, NC 27410-2048 | 3366605200 | NOVANT MEDICAL GROUP INC |
| 6431 Old Plank Rd, High Point, NC 27265-3274 | 3368756530 | NOVANT MEDICAL GROUP INC |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Physicians | 1795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Y Wang | Family Medicine | Novant Medical Group Inc | 2225 Freedom Dr, Charlotte, NC 28208-1000 |
| Cristina Saxon Hreso | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 14215 Ballantyne Corporate Pl, Suite 240, Charlotte, NC 28277-3875 |
| Jeffrey L Williams | Obstetrics/gynecology | Novant Medical Group Inc | 2909 Maplewood Ave, Winston Salem, NC 27103-4009 |
| Shannon M. Roche | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Laura Walker Justice | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 |
| Jennifer Susanne Harvey | Family Medicine | Novant Medical Group Inc | 1730 Kernersville Medical Pkwy, Suite 204, Kernersville, NC 27284-7198 |
| Zion Ko Lamm | Internal Medicine | Novant Medical Group Inc | 301 S College St, Suite 250, Charlotte, NC 28202-6035 |
| Ellen Greear | Nurse Practitioner | Novant Medical Group Inc | 200 Greenwich Rd, Charlotte, NC 28211-2316 |
| Allen J Shepard | Family Medicine | Novant Medical Group Inc | 14230 Hunters Rd, Huntersville, NC 28078-7335 |
| Charis Craig Bostian | Nurse Practitioner | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| Street Address |
6431 OLD PLANK RD |
| City | HIGH POINT |
| State | NC |
| Zip | 27265-3274 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Slade C Moore | Orthopedic Surgery | Novant Medical Group Inc | 6431 Old Plank Rd, High Point, NC 27265-3274 |
| Christopher J Bashore | Orthopedic Surgery | Novant Medical Group Inc | 6431 Old Plank Rd, High Point, NC 27265-3274 |
| Rebecca Cono | Physician Assistant | Novant Medical Group Inc | 6431 Old Plank Rd, High Point, NC 27265-3274 |
| Christopher S Brumfield | Orthopedic Surgery | Novant Medical Group Inc | 6431 Old Plank Rd, High Point, NC 27265-3274 |
| Lauren E Young | Physician Assistant | Novant Medical Group Inc | 6431 Old Plank Rd, High Point, NC 27265-3274 |
| Angela M Garcia-grider | Physician Assistant | Novant Medical Group Inc | 6431 Old Plank Rd, High Point, NC 27265-3274 |
| David Otoole | Pain Management | Novant Medical Group Inc | 6431 Old Plank Rd, High Point, NC 27265-3274 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valarie A Snell | Clinical Social Worker | Center for Holistic Healing PC | 3929 Tinsley Dr, Suite 104, High Point, NC 27265-1531 |
| Staci P Perez | Optometry | Progressive Vision Optometric Group P.a. | 3929 Tinsley Dr, Suite 101, High Point, NC 27265-1531 |
| Joseph Perez Jr. | Optometry | Progressive Vision Optometric Group P.a. | 3929 Tinsley Dr, Suite 101, High Point, NC 27265-1531 |
| Robert C Goodman | Clinical Social Worker | Center for Holistic Healing PC | 3929 Tinsley Dr, Suite 104, High Point, NC 27265-1531 |
| Myeong O Sheard | Podiatry | Moses Cone Affiliated Physicians, Inc. | 3931 Tinsley Dr, Suite 104, High Point, NC 27265-1533 |
| Niyati Patel | Optometry | Donald J. Digby, M.d. P.a. | 2401 Hicks Wood Rd, High Point, NC 27265-1537 |
| Donald J Digby | Ophthalmology | Donald J. Digby, M.d. P.a. | 2401 Hicks Wood Rd, High Point, NC 27265-1537 |
| Steven Joshua Glenn | Ophthalmology | Donald J. Digby, M.d. P.a. | 2401 Hicks Wood Rd, High Point, NC 27265-1537 |
| Natalie Reid Smith | Nurse Practitioner | Wake Forest University Health Sciences | 2401 Hickswood Rd, Suite 104, High Point, NC 27265-1538 |
| John H Schwartz | Family Practice | Regional Physicians LLC | 2401 Hickswood Rd, High Point, NC 27265-1538 |
| Find all physicians in zip 27265 | |||
| City | HIGH POINT |
| Zip Code | 27265 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HIGH POINT + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.