DR. THAO TRAN MARQUEZ (NPI# 1275696866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275696866 |
| Entity Type | Individual |
| Full Name | DR. THAO TRAN MARQUEZ |
| Other Name | DR. THAO PHUONG TRAN |
| Credential | MD,MS |
| Practice Address |
621 S New Ballas Rd Suite 7011b Creve Coeur MO 63141-8232 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 3142516840 |
| Mailing Telephone | 5059236770 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD2018-0703 | NM | Allopathic & Osteopathic Physicians |
| N | 208C00000X | Colon & Rectal Surgery | 2012029320 | MO | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 48381 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
621 S NEW BALLAS RD SUITE 7011B |
| City | CREVE COEUR |
| State | MO |
| Zip Code | 63141-8232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578246 | Benjamin Chase Shultes | Anesthesiologist Assistant | 621 S New Ballas Rd, Creve Coeur, MO 63141-8232 | 2020-05-04 |
| 1659799575 | Ophthalmology Consultants, Ltd | Ophthalmology | 621 S New Ballas Rd, Suite 5006b, Creve Coeur, MO 63141-8232 | 2014-03-29 |
| 1306076120 | Mikael Garri | Internal Medicine | 621 S New Ballas Rd, Suite 3016b, Creve Coeur, MO 63141-8232 | 2009-07-15 |
| 1114114691 | Childrens Endocrine Care of St. Louis, LLC | Pediatrics | 621 S New Ballas Rd, Suite 3002 B, Creve Coeur, MO 63141-8232 | 2007-09-28 |
| 1750591053 | David Edward Tannehill | Internal Medicine | 621 S New Ballas Rd, Creve Coeur, MO 63141-8232 | 2007-05-23 |
| 1376667964 | David C. Wallace | Pharmacist | 621 S New Ballas Rd, Creve Coeur, MO 63141-8232 | 2007-03-19 |
| 1962551176 | St Louis County Internal Medicine Inc | Internal Medicine | 621 S New Ballas Rd, Suite 507a, Creve Coeur, MO 63141 | 2007-01-09 |
| 1518069087 | Dennis J Keithly | Emergency Medicine | 621 S New Ballas Rd, Creve Coeur, MO 63141-8232 | 2006-09-03 |
| 1740398593 | Lisa S. Etzwiler | Emergency Medicine | 621 S New Ballas Rd, St. John's Mercy Medical Center, Suite 6006, Tower B, Creve Coeur, MO 63141-8232 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962519785 | Craig Robert Smith | Surgery | 555 N New Ballas Rd Ste 265, Creve Coeur, MO 63141-6886 | 2006-08-25 |
| 1669498887 | Matthew G Mutch | Surgery | 1040 N Mason Rd, Ste 120, Creve Coeur, MO 63141-6399 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134623317 | Kuirong Jiang | Surgery | 1 Hospital Dr Rm Mc520, Columbia, MO 65212-1000 | 2018-03-21 |
| 1962926311 | Blaire Lori Anderson | Surgery | 4921 Parkview Place Ste 8c, St Louis, MO 63110 | 2017-07-27 |
| 1578084349 | Shoaib Safiullah | Surgery | 1 Hospital Dr # Dc075.00, Columbia, MO 65212-1000 | 2017-07-03 |
| 1003336934 | Bradley Kushner | Surgery | 660 S Euclid Ave Fl 9, Saint Louis, MO 63110-1010 | 2017-06-21 |
| 1982088571 | Maxwell Tanyi Fohtung | Surgery | 4949 W Pine Blvd, Saint Louis, MO 63108 | 2015-07-14 |
| 1376920538 | Jordan M Kirsch | Surgery | 660 S. Euclid Ave, Cb 8109, Saint Louis, MO 63110-1020 | 2015-04-27 |
| 1194117861 | Kaitlyn Marie Rountree | Surgery | 1 Hospital Dr # Mc404, Columbia, MO 65212-1000 | 2015-03-04 |
| 1003231002 | Mysorekar Surgical | Surgery | 8342 Delcrest Dr, Apt 303, Saint Louis, MO 63124-2100 | 2014-02-27 |
| 1588099725 | Francis Milton Corry | Surgery | 2859 E. Utica, Springfield, MO 65804 | 2013-09-06 |
| 1710327879 | Jason Matthew Loden | Surgery | 1333 S Sam Houston Blvd Ste C, Houston, MO 65483-2046 | 2013-07-03 |
| Find all providers with the same taxonomy | ||||
| City | CREVE COEUR |
| Zip Code | 63141 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.