KENT THIEN TA (NPI# 1508853003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508853003 |
| Entity Type | Individual |
| Full Name | KENT THIEN TA |
| Other Name | THIEN TRAN TA |
| Credential | MD |
| Practice Address |
1310 116th Ave Ne #c Bellevue WA 98004-3817 |
| Practice Telephone | 4254530766 |
| Practice Fax Number | 4254513560 |
| Mailing Telephone | 4254530766 |
| Mailing Fax Number | 4254513560 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2016-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD00040870 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PALMETTO RR MEDICARE | P00337140 | 01 |
| WA | DME | 5891740001 | 01 |
| WA | 8390346 | 05 | |
| WA | REGENCE | 3247TA | 01 |
| WA | L I | 186101 | 01 |
| Street Address |
1310 116TH AVE NE #C |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697993 | John Louis Baldwin | Internal Medicine | 1310 116th Ave Ne, Ste C, Bellevue, WA 98004-3817 | 2005-05-23 |
| 1225572381 | Acute Pain Management, Pllc | Anesthesiology | 1310 116th Ave Ne, Bellevue, WA 98004-3817 | 2016-12-08 |
| 1871836478 | Pacific Medical Associates Pllc | Optometrist | 1310 116th Ave Ne, Suite A, Bellevue, WA 98004-3817 | 2013-04-02 |
| 1992931711 | Zachary Fisk | Anesthesiology | 1310 116th Ave Ne, Bellevue, WA 98004-3817 | 2009-06-08 |
| 1235344920 | Steven Howard Wheeler | Chiropractor | 1310 116th Ave Ne, Suite A, Bellevue, WA 98004-3817 | 2007-05-14 |
| 1255423331 | Andrew D. Bronstein | Radiology | 1310 116th Ave Ne, Suite E, Bellevue, WA 98004-3817 | 2006-09-28 |
| 1043302136 | Calixto T. Dimas | Radiology | 1310 116th Ave Ne, Suite E, Bellevue, WA 98004-3817 | 2006-09-28 |
| 1649292186 | Thomas P Sullivan | Radiology | 1310 116th Ave Ne, Suite E, Bellevue, WA 98004-3817 | 2006-07-24 |
| 1467474916 | Randall K Petersen | Radiology | 1310 116th Ave Ne, Suite E, Bellevue, WA 98004-3817 | 2006-07-24 |
| 1255353710 | Shane E Macaulay | Radiology | 1310 116th Ave Ne, Suite E, Bellevue, WA 98004-3817 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982781225 | Immune Disease Treatment Services Pllc | Internal Medicine | 14100 Se 36th St Ste 105, Bellevue, WA 98006-1657 | 2006-11-01 |
| 1881697993 | John Louis Baldwin | Internal Medicine | 1310 116th Ave Ne, Ste C, Bellevue, WA 98004-3817 | 2005-05-23 |
| 1841498003 | Viviane M Bunin | Internal Medicine | 14100 Se 36th St Ste 105, Bellevue, WA 98006-1657 | 2007-07-10 |
| 1821102443 | Carl James Brodie IIi | Internal Medicine | 14100 Se 36th St, 105, Bellevue, WA 98006-1657 | 2006-08-19 |
| 1609871029 | Arinola F Dada | Internal Medicine | 1310 116th Ave Ne, Ste C, Bellevue, WA 98004-3817 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437410354 | Jeonghun Moon | Internal Medicine | 4033 Talbot Rd S Ste 440, Renton, WA 98055-5767 | 2012-06-06 |
| 1356571087 | Christopher C. Wright | Internal Medicine | 105 W 8th Ave Ste 6080, Spokane, WA 99204-2313 | 2009-07-15 |
| 1508094707 | Daniel Jaeung Kim | Internal Medicine | 11311 Bridgeport Way Sw Ste 100, Lakewood, WA 98499-3096 | 2009-06-25 |
| 1962623959 | Wayne J Wallis | Internal Medicine | 2339 Federal Ave E, Seattle, WA 98102-4031 | 2007-05-01 |
| 1639399546 | Robert Lee Johnson | Internal Medicine | 1735 W Sunn Fjord Ln, Apartment I-107, Bremerton, WA 98312-5327 | 2007-04-26 |
| 1093933491 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1330 Rockefeller Ave Ste 330, Everett, WA 98201 | 2007-04-23 |
| 1750433546 | Lisa Vasanth | Internal Medicine | 700 Ne 87th Ave # 330, Vancouver, WA 98664-1913 | 2007-01-18 |
| 1225196215 | John Flint Dickson | Internal Medicine | 714 Bellevue Ave East, #401, Seatlle, WA 98102-5990 | 2006-12-04 |
| 1659445260 | Janice Gupta | Internal Medicine | 515 Minor Avneue, Seattle, WA 98104 | 2006-11-17 |
| 1336218171 | Philip J Mease | Internal Medicine | 1101 Madison St Ste 1000, Seattle, WA 98104-3556 | 2006-11-07 |
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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.