Active NPI
Tan Duy Ly, D.O.
- Orthopaedic Surgery Physician
- Sarasota, FL
National Provider Identifier
1730324245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 5101016546
- Practice address
- 5922 Cattlemen LN Ste 201
Sarasota, FL 34232-6204 - Phone
- (941) 371-9773
- Fax
- (941) 556-0341
- NPI assigned
- Dec 12, 2008
- Last updated
- May 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5101016546 | MI | Primary |
Addresses
Primary practice location
5922 Cattlemen LN Ste 201
Sarasota, FL 34232-6204
Mailing address
5922 Cattlemen LN
Suite 201
Sarasota, FL 34232-6204
Phone (941) 371-9773
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148PP | Other | FL | BCBS FL PROVIDER NUMBER |
| 1730324245 | Other | FL | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101016546 | MI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| International Center for Advanced Spine and Orthopedic Surgery LLC | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Bradenton, FL
- NPI 1942498241
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1730324245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5922 CATTLEMEN LN",
"address_2": "SUITE 201",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342326204",
"telephone_number": "941-371-9773",
"fax_number": "941-556-0343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5922 CATTLEMEN LN STE 201",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342326204",
"telephone_number": "941-371-9773",
"fax_number": "941-556-0341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "TAN",
"middle_name": "DUY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-12",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "5101016546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL PROVIDER NUMBER",
"identifier": "148PP",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1730324245",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.