TRANG H PHAN (NPI# 1295919280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295919280 |
| Entity Type | Individual |
| Full Name | TRANG H PHAN |
| Credential | PA-C |
| Practice Address |
1003 Woodside Ave Essexville MI 48732-1234 |
| Mailing Address |
4300 Milan Ave Sw Wyoming MI 49509-4427 |
| Practice Telephone | 9898927722 |
| Practice Fax Number | 9898927455 |
| Mailing Telephone | 6162041094 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601004098 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891132288 | Trang Phan | Marriage & Family Therapist | 1012 Main St Ste 101, Ramona, CA 92065-2170 | 2013-05-27 |
| 1891094611 | Trang Doan-minh Phan | Physician Assistant | 955 W Imperial Hwy Ste 200, Brea, CA 92821-3812 | 2011-03-18 |
| 1407817265 | Trang D Phan | Optometrist | 518 West Ave, Tallmadge, OH 44278-2117 | 2006-03-31 |
| Street Address |
1003 WOODSIDE AVE |
| City | ESSEXVILLE |
| State | MI |
| Zip Code | 48732-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598746919 | Lakeshore Diagnostics Ultrasound Co. | Radiology | 1003 Woodside Ave, Essexville, MI 48732-1234 | 2005-11-11 |
| 1881002137 | Janelle Pilarski | Radiologic Technologist | 1003 Woodside Ave, Essexville, MI 48732-1234 | 2014-07-31 |
| 1083950976 | Jessica Lynn Spencer | Nurse Practitioner | 1003 Woodside Ave, Essexville, MI 48732-1234 | 2012-12-20 |
| 1366740359 | Lakeshore Diagnostics Ultrasound, Co. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1003 Woodside Ave, Essexville, MI 48732-1234 | 2011-03-01 |
| 1720318553 | Jodi Ann Wojciechowski | Nurse Practitioner | 1003 Woodside Ave, Essexville, MI 48732-1234 | 2009-12-29 |
| 1851584494 | Shawn Elizabeth Bunch | Nurse Practitioner | 1003 Woodside Ave, Essexville, MI 48732-1234 | 2007-08-27 |
| 1265640700 | Accelerated Care of Michigan | Technician/Technologist | 1003 Woodside Ave, Essexville, MI 48732-1234 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346758802 | Jonathan A Dereszynski | Massage Therapist | 1491 N Wagner Rd, Essexville, MI 48732 | 2018-01-18 |
| 1033668710 | Cody Forbes | Specialist/Technologist | 1818 Golfview Drive, Apt 3, Essexxville, MI 48732 | 2016-09-23 |
| 1437510021 | Timothy Phillips | Technician, Other | 853 N. Sheurmann Rd. Apt.404, Essexville, MI 48732 | 2016-03-10 |
| 1326434986 | Allen Wang | Pharmacist | 3592 Center Ave Ste 1, Essexville, MI 48732 | 2015-04-10 |
| 1093978173 | Rashmi Goyal | Psychiatry & Neurology | 1100 Culver Road, Essexville, MI 48732 | 2008-07-08 |
| 1508060310 | Michelle L Scharnott | Family Medicine | 1458 W Center Rd Ste 1, Essexville, MI 48732 | 2007-06-14 |
| 1437376902 | Care and Delivery Services Inc. | Home Health | 1215 N. Pine Rd, Essexville, MI 48732 | 2007-04-19 |
| 1255456265 | Bobby Joe Jones | Dentist | 1480 W Center, Suite 7, Essexville, MI 48732 | 2007-03-20 |
| 1780722785 | Mclaren Bay Region | Internal Medicine | 1480 W Center Rd Ste 5, Essexville, MI 48732 | 2007-02-02 |
| 1841363439 | Marianne M Vandenboom | Counselor | 1332 Prospect Avenue, Tuscola Behavioral Health, Caro, MI 48732 | 2006-11-15 |
| Find all providers in zip 48732 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
| 1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
| 1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
| 1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
| 1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
| 1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
| Find all providers with the same taxonomy | ||||
| City | ESSEXVILLE |
| Zip Code | 48732 |
Please comment or provide details below to improve the information on TRANG H PHAN.
| 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.