THANH PHUNG


Address: 2155 Ford Pkwy Ste A, Saint Paul, MN 55116-2799
Phone: 6516965000

THANH PHUNG (NPI# 1457889420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457889420
Entity Type Individual
Full Name THANH PHUNG
Practice Address 2155 Ford Pkwy Ste A
Saint Paul
MN 55116-2799
Mailing Address 400 Stinson Blvd Fl 2
Rev Mgmt
Minneapolis
MN 55413-2614
Practice Telephone 6516965000
Enumeration Date 2017-06-02
Last Update Date 2020-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 67245 MN Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1801 Hickman Rd, Des Moines, IA 503141505 5152825640

Other Providers THANH PHUNG

NPI Name Taxonomy Address Enumeration
1831451756 Thanh T Phung Pharmacist 10151 Vista Valle Ct, San Jose, CA 95127-2755 2012-06-15
1952315319 Thanh G. Phung Radiology 15027 South Prairie Ave, Lawndale, CA 90260 2006-07-28

Office Location

Street Address 2155 FORD PKWY STE A
City SAINT PAUL
State MN
Zip Code 55116-2799

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568017374 The Bridge Autism Clinic LLC Clinic/Center 690 Cleveland Ave South, Suite 100, St Paul, MN 55116 2019-08-08
1205306875 Center for Validation and Change, L.L.C. Social Worker 790 Cleveland Avenue S. Ste; 211 790, St. Paul, MN 55116 2018-11-27
1114391307 Therese Ann Wengler Rehabilitation Hospital 1206 Niles Avenue, Saint Paul, MN 55116 2015-11-25
1306220579 Lauren Ann Wier Social Worker 577 Wawick St, Saint Paul, MN 55116 2015-07-16
1982097325 Norah Hoverson Dentist 670 Cleveland Ave S Ste 100, Saint Paul, MN 55116 2015-03-10
1316336803 Ryan W. Nolte Chiropractor 1150 Montreal Ave Ste 101, Saint Paul, MN 55116 2015-01-21
1316348642 Highland Gw, LLC Assisted Living Facility 1925 Graham Avenue, St. Paul, MN 55116 2014-09-05
1972941185 Creations Midwifery, LLC Advanced Practice Midwife 1235 Saint Paul Avenue, Saint Paul, MN 55116 2013-06-10
1992075428 Nels Health Care, LLC Licensed Practical Nurse 2285 Stewart Ave, Suite 1107, St Paul, MN 55116 2011-12-30
1962717728 Lindsey Hammond Teigland Psychologist 690 Cleveland Avenue South, St. Paul, MN 55116 2010-08-17
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518338268 Northstar Professional Services Family Medicine 924 Rice St, Saint Paul, MN 55117-4987 2015-10-07
1386064111 Laura Giegler Family Medicine 1983 Sloan Pl Ste 1, Saint Paul, MN 55117 2014-04-19
1306287719 John Gordon Faughnan Family Medicine 1660 Stanford Ave, Saint Paul, MN 55105-2038 2013-07-13
1194041277 Mark William Eaton Family Medicine 333 Smith Ave N # Ms 60202, Saint Paul, MN 55102-2344 2010-04-14
1326277815 Branden James Pfefferkorn Family Medicine 2004 Ford Pkwy # Ms 35300a, Saint Paul, MN 55116-1931 2009-07-07
1780812651 James Edward Hougas IIi Family Medicine Ump Phalen Village Clinic, 1414 Maryland Ave E, Saint Paul, MN 55106 2009-06-30
1871748509 Deborah Lee Wexler Family Medicine 1573 Selby Ave, Suite 234, Saint Paul, MN 55104-6293 2008-11-21
1124206677 Family Healthservices Minnesota, P.a. Family Medicine 2025 Sloan Pl, Suite 35, Saint Paul, MN 55117-2007 2008-02-07
1174703805 Family Healthservices Minnesota, P.a. Dba Entira Family Clinics Family Medicine 1385 Phalen Boulevard, Saint Paul, MN 55106 2007-11-09
1922219021 Qwik Urgent Care Clinic Family Medicine 1239 Payne Avenue, Saint Paul, MN 55130 2007-05-24
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City SAINT PAUL
Zip Code 55116

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Dataset Information

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.

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