DR. DAVID LY (NPI# 1477879864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477879864 |
| Entity Type | Individual |
| Full Name | DR. DAVID LY |
| Credential | MD |
| Practice Address |
6847 N Chestnut St Ravenna OH 44266-3929 |
| Mailing Address |
20800 Harvard Rd Fl 2 Highland Hills OH 44122-7250 |
| Practice Telephone | 3302357081 |
| Practice Fax Number | 2162016387 |
| Mailing Telephone | (216) 358-2156 |
| Mailing Fax Number | 2162017880 |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2017-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
35.129274 | OH | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
51021 | AZ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAILROAD MEDICARE | P01536506 | 01 |
| AZ | 041529 | 05 | |
| AZ | CIGNA | 3495287 | 01 |
| AZ | AETNA | 7140968 | 01 |
| AZ | MERCY CARE | QZZ000000061638 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851838221 | David Ly | Pharmacist | 6800 Skyway, Paradise, CA 95969-3924 | 2017-01-24 |
| 1568901676 | David Ly | Social Worker | 10802 College Pl, Cerritos, CA 90703-1505 | 2017-02-22 |
| 1598159741 | David Ly | Psychiatry & Neurology | 303 E Vanderbilt Way, San Bernardino, CA 92415-1801 | 2015-03-26 |
| 1982954913 | David Ly | Physician Assistant | 267 Grant St, Bridgeport, CT 06610 | 2012-09-18 |
| 1578828265 | David Ly | Optometrist | 7611 W Thomas Rd, Phoenix, AZ 85033-5439 | 2012-07-09 |
| 1639479025 | David Ly | Pharmacist | 1025 Alhambra Blvd, Sacramento, CA 95816-5212 | 2010-11-01 |
| Street Address |
6847 N CHESTNUT ST |
| City | RAVENNA |
| State | OH |
| Zip Code | 44266-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078306 | Stephanie J Teodosio | Occupational Therapist | 6847 N Chestnut St, Suite 100, Ravenna, OH 44266-3929 | 2005-10-25 |
| 1356949010 | Kimberly Sue Neubig | Licensed Practical Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-10-15 |
| 1467059956 | Korena L Mulloy | Licensed Practical Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-10-07 |
| 1104439553 | Temitope A Adeleke | Nurse Practitioner | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-08-26 |
| 1811505175 | Lindsay Hall | Pharmacist | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-07-22 |
| 1568089175 | James Ferrell | Pharmacist | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-06-30 |
| 1437774544 | Glen Robert Williams Jr. | Registered Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-06-15 |
| 1497379408 | Lauren R Lewis | Nurse Practitioner | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-06-04 |
| 1780208140 | Alexis Hughley | Licensed Practical Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-06-02 |
| 1811511488 | Carrie Reedy | Licensed Practical Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409501 | Jeffrey Michael Jones | Hearing Instrument Specialist | 131 E. Hain St Beltone Hearing Care Center, Ravenna, OH 44266 | 2019-07-18 |
| 1285286443 | Robert Ailes Lax | Counselor | 246 S. Chestnut St., Ravenna, OH 44266 | 2019-07-09 |
| 1841792314 | Jason Troyer | Case Manager/Care Coordinator | 3920 Lover's Lane, Ravenna, OH 44266 | 2018-03-01 |
| 1316446370 | Jacquelin Grace Claren | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44266 | 2018-02-06 |
| 1164921318 | Tammy M Morris | Counselor | 4771 Washington Ave., Ravenna, OH 44266 | 2018-02-02 |
| 1306360219 | Megan Kathryn Marsh | Nurse Practitioner | 3215 Menough Rd, Ravenna, OH 44266 | 2017-08-01 |
| 1063875110 | Mary Kathryn Revello | Home Health Aide | 103 N.scycamore St, Ravenna 44266, OH 44266 | 2016-04-05 |
| 1396114302 | Theresa Brooks Kotlar | Registered Nurse | 7174 Colonial Place, Ravenna, OH 44266 | 2015-09-20 |
| 1811384118 | Okap Kwon Md Inc | Internal Medicine | 964 East Main Street, Ravenna, OH 44266 | 2015-04-24 |
| 1104223783 | Julie Winkler | Speech-Language Pathologist | 639 W. Main St, Ravenna, OH 44266 | 2014-11-26 |
| Find all providers in zip 44266 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720486517 | Oncology Hematology Care, Inc. | Radiology | 900 Havemann Rd, Celina, OH 45822-1870 | 2014-12-11 |
| 1548607278 | Michael Jason Bishop | Radiology | 803 W Market St Ste 100, Lima, OH 45805-2796 | 2013-06-04 |
| 1134565120 | Jeremy Brownstein | Radiology | 460 W 10th Ave Fl 2, Columbus, OH 43210-1240 | 2013-05-16 |
| 1942569041 | Matthew Lee Knecht | Radiology | 3525 Pentagon Blvd, Ste 101, Beavercreek, OH 45431-1705 | 2012-05-09 |
| 1083841480 | Giselle T, Bretz | Radiology | 4825 Winding Creek Trl, Dayton, OH 45429-1976 | 2009-06-12 |
| 1275707614 | Thomas Nabhani | Radiology | 330 Glessner Ave, Mansfield, OH 44903-2226 | 2008-04-16 |
| 1518148691 | Ralph Riddall Dobelbower Jr. | Radiology | 1666 River Road, Maumee, OH 43537 | 2007-11-17 |
| 1902007651 | Ryan D. Steinmetz | Radiology | 501 Atrium Dr Ste 100, Middletown, OH 45005-5165 | 2007-05-30 |
| 1386854875 | Andrew B. Freeman | Radiology | 801 Ohio Health Blvd Ste 180, Delaware, OH 43015-7883 | 2007-05-23 |
| 1023143864 | Summa Physicians Inc | Radiology | 3780 Medina Rd Ste 150, Medina, OH 44256-9312 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DAVID 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.