DAVID LY (NPI# 1982954913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982954913 |
| Entity Type | Individual |
| Full Name | DAVID LY |
| Credential | PA-C |
| Practice Address |
267 Grant St Bridgeport CT 06610 |
| Mailing Address |
16 Allen Pl New Haven CT 06512-1805 |
| Practice Telephone | 2032843000 |
| Mailing Telephone | 7146235917 |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2019-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 020734 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2793 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Elm and Carlton Streets, Buffalo, NY 142630001 | 7168452300 |
| 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 |
| 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 |
| 1477879864 | David Ly | Radiology | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2010-04-12 |
| Street Address |
267 GRANT ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104818376 | Anthony Peluso | Anesthesiology | 267 Grant St, Bridgeport Anesthesia Associates, PC, Bridgeport, CT 06610-2805 | 2005-08-16 |
| 1992306138 | Anna Maria Clabby | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-11-04 |
| 1336756519 | Jane Silva | Physical Medicine & Rehabilitation | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-09-30 |
| 1407461890 | Mary Antonette Evangelista Cordon | Pharmacist | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-09-11 |
| 1467064022 | Courtney Alexandra Irving | Registered Nurse | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-08-17 |
| 1528677416 | Britnia St. Pierre | Registered Nurse | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-07-27 |
| 1881203040 | Adrianna Janelle Sutfin | Registered Nurse | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-23 |
| 1750990081 | Allison Jamie Stark | Nurse Anesthetist, Certified Registered | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-22 |
| 1164030565 | Alyssa Garza | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-21 |
| 1730797549 | Laura Bienashski | Student in an Organized Health Care Education/Training Program | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| 1922532746 | Megha Kureti | Student in an Organized Health Care Education/Training Program | 267 Grant St Fl 3, Bridgeport, CT 06610 | 2017-04-18 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| Find all providers in zip 06610 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578024105 | Vance P Baughman | Physician Assistant | 325 Lafayette St Unit 1003, Bridgeport, CT 06604-5472 | 2019-03-27 |
| 1780178285 | Christina P. Filippakis | Physician Assistant | 401 Myrtle Ave, Bridgeport, CT 06604-5444 | 2018-06-18 |
| 1720134372 | Tommy Savedra | Physician Assistant | 221 Twin Lakes Rd, Bridgeport, CA 93517 | 2007-01-26 |
| 1235284886 | Patricia Lynn Ross | Physician Assistant | 104 Orchard Ave, Bridgeport, WV 26330-1736 | 2007-01-24 |
| 1609890789 | Kaufmann Leslie Kaufmann | Physician Assistant | 1 Lee Ann Ln, Bridgeport, WV 26330-1080 | 2006-07-26 |
| 1407477334 | Emily Nicole Jimenez | Physician Assistant | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-05-01 |
| 1629608278 | Ethan Ramsey | Physician Assistant | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2020-01-23 |
| 1336780709 | Christy Distasio | Physician Assistant | 267 Grant St, Bridgeport, CT 06610-2805 | 2019-10-07 |
| 1639616063 | Alison Robb | Physician Assistant | 267 Grant St, Bridgeport, CT 06610-2805 | 2017-01-24 |
| 1992155873 | Sabrina Butler | Physician Assistant | 267 Grant St, Bridgeport, CT 06610-2805 | 2016-06-21 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06610 |
Please comment or provide details below to improve the information on 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.