Ly T Phan, MD
Ly T Phan is a Surgery Physician provider (Surgery) practicing in Columbia, MO, registered in the NPPES registry with NPI 1356430870 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1356430870 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Ly T Phan |
| Credential | MD |
| Sex | Male |
| Practice address | 1601 E BROADWAY, STE 240, Columbia, MO, 65201 |
| Phone | 5738158145 |
| Fax | 5738153832 |
| Enumeration date | 2006-10-12 |
| Last updated in NPPES | 2017-04-11 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 2005030724 | MO |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207505603 | Medicaid | MO | — |
Copy-ready billing details
Provider: Ly Phan, MD NPI: 1356430870 Taxonomy: 208600000X (Surgery Physician) Address: 1601 E BROADWAY, STE 240, Columbia, MO, 65201
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1750381141 | Elizabeth Wilson | Individual | Gynecology Physician | Columbia, MO |
| 1114910817 | Chris Martin | Individual | Specialist | Columbia, MO |
| 1376533257 | Mary Welch | Individual | Obstetrics & Gynecology Physician | Columbia, MO |
| 1285603894 | David Moreton | Individual | Obstetrics & Gynecology Physician | Columbia, MO |
| 1679542211 | Lynn Puckett | Individual | Obstetrics & Gynecology Physician | Columbia, MO |
| 1962471110 | Kimberly Morse | Individual | Obstetrics & Gynecology Physician | Columbia, MO |
| 1710956966 | Kevin Jones | Individual | Obstetrics & Gynecology Physician | Columbia, MO |
| 1417926676 | Women'S Health Associates, Inc. | Organization | Obstetrics & Gynecology Physician | Columbia, MO |
Verify this record
Cross-check NPI 1356430870 against the authoritative CMS record: view Ly T Phan on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Ly Phan?
Where does Ly Phan practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-04-11.