DR. BOREMY LY (NPI# 1336245125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336245125 |
| Entity Type | Individual |
| Full Name | DR. BOREMY LY |
| Credential | DPM |
| Practice Address |
7818 N Hull Ave Kansas City MO 64151-1532 |
| Practice Telephone | 8163048452 |
| Practice Fax Number | 8164680742 |
| Mailing Telephone | 8163048452 |
| Mailing Fax Number | 8164680742 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2012-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
1200289 | KS | Podiatric Medicine & Surgery Service Providers |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
000750 | MO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 308630318 | 05 |
| Street Address |
7818 N HULL AVE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64151-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700085453 | Golden Age Footcare Inc | Podiatrist | 7818 N Hull Ave, Kansas City, MO 64151-1532 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861033813 | Jonene Jaynes | Technician | 5002 Nw Martin Dr, Platte County, MO 64151 | 2019-10-01 |
| 1033636956 | Autism Support Now, LLC | Behavioral Analyst | 6500 Nw Tower Drive, Suite 100, Platte Woods, MO 64151 | 2017-08-23 |
| 1699205211 | Alma C Batchelor | Behavior Technician | 5863 Nw 72nd Street, Kansas City, MO 64151 | 2017-06-15 |
| 1588015291 | Freedom Care, LLC | Home Health Aide | 5727 N. Ames Ave, Kansas, MO 64151 | 2016-06-23 |
| 1164701827 | Richard Alan Pelaar | Counselor | 5000 Nw Waukomis Drive, E, Kansas City, MO 64151 | 2011-08-12 |
| 1013238708 | Kodi Lee Watson | Dietitian, Registered | 8301 N St. Clair Ave, Kansas City, MO 64151 | 2010-06-16 |
| 1821296294 | Andy Mackey | Durable Medical Equipment & Medical Supplies | 5100 Nw Waukomis, Northmoor, MO 64151 | 2007-07-06 |
| 1629138185 | George Thomas Mcneish II | Dentist | 6500 Nw Tower Dr, 6500 Nw Tower Dr, Kansas City, MO 64151 | 2006-12-12 |
| 1649345091 | Comfort Plus Shoes & Footcare | Durable Medical Equipment & Medical Supplies | 8351 Nw Barrybrooke Drive, Kansas City, MO 64151 | 2006-11-21 |
| 1457456931 | Steve Bull Cain | Dentist | 7120 Nw Prairie View Rd, Kansas City, MO 64151 | 2006-09-13 |
| Find all providers in zip 64151 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700085453 | Golden Age Footcare Inc | Podiatrist | 7818 N Hull Ave, Kansas City, MO 64151-1532 | 2007-07-13 |
| 1083821904 | Michael N. Fine, Dpm, PC | Podiatrist | 2790 Clay Edwards Dr, Ste 570, Kansas City, MO 64116-3276 | 2007-05-17 |
| 1396952990 | Brian K Haith Dpm Pa | Podiatrist | 6724 Troost Ave, Suite 302, Kansas City, MO 64131-1500 | 2007-05-16 |
| 1598731002 | Brian K Haith | Podiatrist | 6724 Troost Ave, Kansas City, MO 64131-0001 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972826071 | Douglas A Krauss Inc | Podiatrist | 11132 S Towne Sq Ste 105, Saint Louis, MO 63123-7818 | 2010-03-04 |
| 1265667802 | Golden Age Footcare | Podiatrist | 323 S. 169 Highway, Gower, MO 64454-9116 | 2009-05-27 |
| 1881766863 | Patrick Anderson Mcshane | Podiatrist | 1834 S Stewart Ave, Springfield, MO 65804-2519 | 2006-11-14 |
| 1174621056 | Robert R Shemwell | Podiatrist | 246 E Hwy 54, Ste A, Camdenton, MO 65020 | 2006-09-21 |
| 1710998851 | Roller Enterprises LLC | Podiatrist | 1691 S Business Highway 65, Hollister, MO 65672-6342 | 2006-08-11 |
| 1396701108 | Chris Robert Guerrieri | Podiatrist | 2800 Ne 60th St, Gladstone, MO 64119-2036 | 2006-04-21 |
| 1194703017 | James Thomas Main Jr. | Podiatrist | 1854 Broadway St, Cape Girardeau, MO 63701-4553 | 2006-01-03 |
| 1285636753 | John Orville Roller | Podiatrist | 1691 S Bus Hwy 65, Hollister, MO 65672-6342 | 2005-08-12 |
| 1942394051 | Heather Renee Ramsey | Podiatrist | 1136 West 40 Hwy, Blue Springs, MO 64015-4610 | 2006-10-03 |
| 1043292840 | Meredith B Stuart | Podiatrist | 16087 Manchester Rd, Ellisville, MO 63011-2103 | 2005-11-17 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64151 |
Please comment or provide details below to improve the information on DR. BOREMY 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.