DR. JIMMY LIGHT MD NPI 1376513176

NPI Information

NPI: 1376513176
Provider Name: DR. JIMMY LIGHT, MD
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual
Address:
110 IRVING ST NW
SUITE 3D - 31
WASHINGTON, DC
ZIP 20010
Phone: (202) 877-6029
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DR. Jimmy Light, MD is a transplant surgery in Washington, DC. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee DR. Jimmy Light, MD NPI is 1376513176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

110 IRVING ST NW
SUITE 3D - 31
WASHINGTON, DC
ZIP 20010-976
Phone: (202) 877-6029

The enumeration date for this NPI number is 1/24/2006 and was last updated on 6/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		MD25560	DISTRICT OF COLUMBIA	No
2	204F00000X	Transplant Surgery		MD25560	DISTRICT OF COLUMBIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	007305818	MEDICAID	DISTRICT OF COLUMBIA
2	432107T97	MEDICARE ID-TYPE UNSPECIFIED	DISTRICT OF COLUMBIA	TRAILBLAZER
3	327801200	MEDICAID	DISTRICT OF COLUMBIA
4	025597100	MEDICAID	DISTRICT OF COLUMBIA
5	C88967	MEDICARE UPIN	DISTRICT OF COLUMBIA
6	P00113221	MEDICARE ID-TYPE UNSPECIFIED	DISTRICT OF COLUMBIA	RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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