DR. NICK MINH LY (NPI# 1518156181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518156181 |
| Entity Type | Individual |
| Full Name | DR. NICK MINH LY |
| Credential | DO |
| Practice Address |
2864 Woodruff St Fort Bragg NC 28320 |
| Mailing Address |
144 Harborview Dr Sanford NC 27332-9681 |
| Practice Telephone | 9105703078 |
| Mailing Telephone | 7147974080 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2015-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2013-02015 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
2864 WOODRUFF ST |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346204443 | Damaris Padilla | Pediatrics | 2864 Woodruff St, Fort Bragg, NC 28310-0001 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295399343 | Total Renal Care of North Carolina, LLC | Clinic/Center | 219 Martin Luther King Jr Dr, Bladenboro, NC 28320 | 2019-04-24 |
| 1558721217 | Rha Behavioral Health Nc LLC | Community/Behavioral Health | 106 4th St, Bladenboro, NC 28320 | 2016-02-24 |
| 1174877153 | Iesha Shonta Bell | Social Worker | 803 South Main Street, Bladenboro, NC 28320 | 2012-10-30 |
| 1609149053 | Turner's Family Care Home | Assisted Living Facility | 208 Whiteville Road, Bladenboro, NC 28320 | 2012-02-15 |
| 1265738157 | West Bladen Assisted Living, LLC | Custodial Care Facility | 714 Bladen Street, Bladenboro, NC 28320 | 2011-02-10 |
| 1316105042 | Gate Way Health Care Associates LLC | Case Management | 201 Martin Luther King Dr, Bladenboro, NC 28320 | 2008-05-29 |
| 1255506861 | Christopher Clark Dds Pa | Dentist | 104 Fourth St, Bladenboro, NC 28320 | 2008-04-24 |
| 1164609756 | Donald Benton Helms | Eyewear Supplier (Equipment, not the service) | 102 Fourth Street, Bladenboro, NC 28320 | 2008-01-25 |
| 1366624371 | Glencare of Bladenboro | Assisted Living Facility | 714 East Bladen Street, Bladenboro, NC 28320 | 2007-11-30 |
| 1801005467 | Xuan Kim Tran | Dentist | 104 4th Street, Bladenboro, NC 28320 | 2007-05-21 |
| Find all providers in zip 28320 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1457518250 | Ryan Melink Knight | Emergency Medicine | Wamc 4 2817 Reilly St, Fort Bragg, NC 28310-0001 | 2008-05-20 |
| 1215114160 | Craig Hamilton Barstow | Emergency Medicine | Womack Army Medical Center; Fmrc, Bldg 4-2817, Fort Bragg, NC 28310-5000 | 2008-01-23 |
| 1629273628 | Christopher Michael House | Emergency Medicine | Bldg D-3534, Fort Bragg, NC 28310-0001 | 2007-06-19 |
| 1932272366 | Shawn Frank Taylor | Emergency Medicine | 2817 Reilly Road Department of Emergency Medicine, Fort Bragg, NC 28310 | 2006-11-15 |
| 1740209410 | Kenneth M Johnson IIi | Emergency Medicine | Womack Amc Credentials Ofc, Bldg 4-2817, Reilly Rd, Fort Bragg, NC 28310-0001 | 2006-07-19 |
| 1982229993 | John Joseph Reidelbach II | Emergency Medicine | 2817 Reilly St, Fort Bragg, NC 28310-7394 | 2020-06-15 |
| 1710336300 | Glass Beach Medical Services A Medical Corporation | Emergency Medicine | 700 River Dr, Fort Bragg, CA 95437-5403 | 2016-06-06 |
| 1497175384 | Van Wall | Emergency Medicine | 2817 Reilly St, Fort Bragg, NC 28310 | 2014-04-18 |
| 1770716938 | Leigh-anne Lindenmuth Slack | Emergency Medicine | 2817 Reilly Road, Mcxc-cod Credentials Womack Army Medical Center, Fort Bragg, NC 28310 | 2009-09-03 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 28320 |
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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.