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MAXIMILLIAN LY
NPI 1114720489
Student in an Organized Health Care Education/Training Program in Stillwater, OK

Active since March 31, 2025
1323 W 6TH AVE, STILLWATER, OK 74074(405) 372-1480 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maximillian Ly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXIMILLIAN LY (NPI 1114720489) is an individual student in an organized health care education/training program in Stillwater, Oklahoma and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1114720489
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameMAXIMILLIAN LY
Location Address1323 W 6TH AVEStillwater, OK 74074-4306
Mailing Address1323 W 6th AveStillwater, OK 74074-4306 · (405) 372-1480
Phone(405) 372-1480
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
✔ NPI 1114720489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1323 W 6TH AVE, Stillwater, OK 74074
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA DAWN MCRAY APRN
Nurse Practitioner (Family)
1323 W 6TH AVE
STILLWATER, OK 74074
Payne County (405) 784-5842
DEBRA O'DAY
Nurse Practitioner (Primary Care)
1323 W 6TH AVE
STILLWATER, OK 74074
Payne County (405) 372-1480
ELIZABETH ASHLEY GALLAWAY APRN
Nurse Practitioner
1323 W 6TH AVE
STILLWATER, OK 74074
Payne County (405) 372-1480
AARON TODD PIERCE
Anesthesiology
1323 W 6TH AVE
STILLWATER, OK 74074
Payne County (405) 784-5842
KATY SCHWARZ PT, DPT
Physical Therapist
1323 W 6TH AVE
STILLWATER, OK 74074
Payne County (405) 372-1480
INGE HAYES MD
Anesthesiology
1323 W 6TH AVE
STILLWATER, OK 74074
Payne County (405) 372-1480
DR. LLOYD B. MOORE MD
Emergency Medicine
1323 W 6TH AVE
STILLWATER, OK 74074
Payne County (405) 742-5454
EMILY EMERSON RD
Dietitian, Registered
1323 W 6TH AVE
STILLWATER, OK 74074
Payne County (405) 742-5801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maximillian Ly's NPI number?

The NPI number for Maximillian Ly is 1114720489. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Maximillian Ly located?

Maximillian Ly practices at 1323 W 6th Ave, Stillwater, OK 74074. The listed phone number is (405) 372-1480.

What is Maximillian Ly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Maximillian Ly was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.