DR. BRENDA LY


Address: 640 Quantum Rd Ne, Rio Rancho, NM 87124-4506
Phone: 5059240209

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 640 QUANTUM RD NE
City RIO RANCHO
State NM
Zip Code 87124-4506

Providers in the same location

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

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NPI Name Taxonomy Address Enumeration
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1841840345 Debra English Technician 2001 Yucca St Se, Rio Rancho, NM 87124 2019-09-17
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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
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City RIO RANCHO
Zip Code 87124

Improve Information

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Dataset Information

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.

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