DR. BRENDA LY (NPI# 1871818617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871818617 |
Entity Type | Individual |
Full Name | DR. BRENDA LY |
Credential | M.D. |
Practice Address |
640 Quantum Rd Ne Rio Rancho NM 87124-4506 |
Practice Telephone | 5059240209 |
Practice Fax Number | 5059240210 |
Mailing Telephone | 5059240209 |
Mailing Fax Number | 5059240210 |
Enumeration Date | 2010-04-05 |
Last Update Date | 2018-04-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207ZH0000X |
Pathology Specialization: Hematology |
MD2018-0194 | NM | Allopathic & Osteopathic Physicians |
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD2018-0194 | NM | Allopathic & Osteopathic Physicians |
N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
A140304 | CA | Allopathic & Osteopathic Physicians |
Street Address |
640 QUANTUM RD NE |
City | RIO RANCHO |
State | NM |
Zip Code | 87124-4506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508929076 | Richard Evans Zitwer | Pathology | 640 Quantum Rd Ne, Rio Rancho, NM 87124-4506 | 2006-12-18 |
1033501747 | Petroglyph Pathology Services LLC | Pathology | 640 Quantum Rd Ne, Rio Rancho, NM 87124-4506 | 2015-03-04 |
1538452719 | Simon E. Meykler | Pathology | 640 Quantum Rd Ne, Rio Rancho, NM 87124-4506 | 2011-05-23 |
1902067978 | Ruobing Xiao | Pathology | 640 Quantum Rd Ne, Rio Rancho, NM 87124-4506 | 2008-06-22 |
1417150962 | Christina Robyn Shetlar | Pathology | 640 Quantum Rd Ne, Rio Rancho, NM 87124-4506 | 2007-06-11 |
1801003231 | Petroglyph Pathology Services, LLC | Clinical Medical Laboratory | 640 Quantum Rd Ne, Rio Rancho, NM 87124-4506 | 2007-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
Find all providers in zip 87124 |
Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508929076 | Richard Evans Zitwer | Pathology | 640 Quantum Rd Ne, Rio Rancho, NM 87124-4506 | 2006-12-18 |
1588638324 | Richard Michael Mondragon | Pathology | 1207 Golf Course Rd Se Ste B, Rio Rancho, NM 87124-5213 | 2006-02-16 |
1033501747 | Petroglyph Pathology Services LLC | Pathology | 640 Quantum Rd Ne, Rio Rancho, NM 87124-4506 | 2015-03-04 |
1538452719 | Simon E. Meykler | Pathology | 640 Quantum Rd Ne, Rio Rancho, NM 87124-4506 | 2011-05-23 |
1902067978 | Ruobing Xiao | Pathology | 640 Quantum Rd Ne, Rio Rancho, NM 87124-4506 | 2008-06-22 |
1417150962 | Christina Robyn Shetlar | Pathology | 640 Quantum Rd Ne, Rio Rancho, NM 87124-4506 | 2007-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972119725 | Madeline Woodward | Pathology | 1020 Stanford Dr Ne, Albuquerque, NM 87106-3720 | 2020-09-17 |
1891173647 | Rebecca L. Lynn Kunak | Pathology | Msc 07-4040 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-05-13 |
1457761108 | Laura Naomi Toth | Pathology | Msc 07-4040 I University of New Mexico, Albuquerque, NM 87131 | 2014-05-03 |
1902224488 | Alae Abod Yaseen | Pathology | Msc (pathology) 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2014-04-02 |
1881026078 | Shweta Agarwal | Pathology | 1 University of New Mexico Msc08-4640, Albuquerque, NM 87131-0001 | 2013-07-30 |
1720421290 | Joshua K Routh | Pathology | Msc 07 0404 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-04-15 |
1457600496 | Nathan James Thompson | Pathology | Department of Pathology Bmsb 335 915 Camino, Albuquerque, NM 87131-0001 | 2012-09-06 |
1033474077 | Joseph Ross Griggs | Pathology | Msc 08 4640, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-07-05 |
1265792170 | Paul Christopher Yell | Pathology | Msc Pathology 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-05-24 |
1346516325 | Joanna L. Conant | Pathology | Msc Pathology Department, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-03-23 |
Find all providers with the same taxonomy |
City | RIO RANCHO |
Zip Code | 87124 |
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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.