Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1144778457 Deactivated / Inactive NPI Female Practitioner

Ky Dau , PA-C

Physician Assistant • Lutz, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ky Dau has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 15, 2016
NPI Deactivation Date November 08, 2017
Total Practice Duration ~1 Years of Practice (2016 – 2017)

Professional Overview & Biography Verified Profile Summary

Ky Dau, PA-C was a registered Physician Assistant practicing in Lutz, FL. Throughout an active medical career spanning 1 years, Ky Dau provided care at the practice location at 5332 VAN DYKE RD until profile deactivation on 2017-11-08.

Practice Location & Contact Primary Location

Practice Address

5332 Van Dyke Rd

Lutz, FL 335584829

Telephone 8139601200
Fax 8134417555
Associated Practice Facility / Clinic
🏢 Dang Wynn Medical Facility NPI 1538521596

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lutz, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.5 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
27 Specialists

Practicing in Lutz, FL (10376 Statewide)

Telehealth Adoption Rate
3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9109120

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Nataly Saldana , MD

Emergency Medicine

NPI 1538468855

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location May 08, 2019

Registered at 5332 VAN DYKE RD, LUTZ, FL 335584829 (Tel: 8139601200)

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Updated Business Mailing Address May 08, 2019

Registered at 5332 VAN DYKE RD, LUTZ, FL 335584829 (Tel: 8139601200)

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Provider Name / Credentials Updated May 08, 2019

Recorded as KY DAU, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2019

Physician Assistant (License #PA9109120 in FL)

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NPI Profile Deactivated November 08, 2017

Record deactivated on November 08, 2017

NPI Profile Active October 17, 2016

NPI status registered as active in NPPES database

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Updated Practice Location October 17, 2016

Registered at 5332 VAN DYKE RD, LUTZ, FL 335584829 (Tel: 8139601200)

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Updated Business Mailing Address October 17, 2016

Registered at 5332 VAN DYKE RD, LUTZ, FL 335584829 (Tel: 8139601200)

👤
Provider Name / Credentials Updated October 17, 2016

Recorded as KY DAU, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2016

Physician Assistant (License #PA9109120 in FL)

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Initial NPI Registration & Enumeration September 15, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144778457
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2016
Last Update: May 08, 2019
Deactivation Date: November 08, 2017
Sole Proprietor: No

Mailing Address

5332 Van Dyke Rd

Lutz, FL 335584829

Phone: 8139601200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.