JIMMY LIGHT MD – NPI #1376513176
Transplant Surgery

A surgeon who specializes in transplant surgery.

JIMMY LIGHT is a transplant surgeon located in WASHINGTON, DC. NPPES has assigned the NPI number 1376513176 to JIMMY LIGHT on January 24, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204F00000X from the Health Care Provider Taxonomy code set, which is classified as Transplant Surgery.

The NPI profile was previously updated about 18 years ago on Jun 27, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JIMMY LIGHT below.

NPI Profile for
JIMMY LIGHT

NPI Number
1376513176
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JIMMY LIGHT
Credentials
MD
Primary location
110 IRVING ST NW
SUITE 3D - 31
WASHINGTON, DC 20010-2976
Phone: (202) 877-6029 Fax:
Mailing address
4204 ROSEMARY ST
CHEVY CHASE, MD 20815-5218
Phone: (301) 657-3113 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for JIMMY LIGHT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDDC007305818
MEDICAIDDC025597100
MEDICAIDDC327801200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204F00000X
- Transplant Surgery (Primary)
DC MD25560
208600000X
- Surgery
DC MD25560

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.