DR. CRYSTAL KIM TRUONG (NPI# 1720540404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720540404 |
| Entity Type | Individual |
| Full Name | DR. CRYSTAL KIM TRUONG |
| Credential | MD |
| Practice Address |
2101 Charlotte St Kansas City MO 64108-2727 |
| Mailing Address |
10117 Asheboro St Frisco TX 75035-7021 |
| Practice Telephone | 8164043900 |
| Practice Fax Number | 8164043918 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 2020017973 | MO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MISSOURI STATE LICENSE | 2020017973 | 01 |
| KS | KANSAS STATE LICENSE | 94-10400 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205267408 | Crystal Truong | Marriage & Family Therapist | 3320 173rd Pl Ne, Arlington, WA 98223-8712 | 2013-12-12 |
| 1396183349 | Crystal Nguyen Truong | Internal Medicine | 2001 Crystal Spring Ave Sw, Roanoke, VA 24014-2462 | 2013-06-12 |
| Street Address |
2101 CHARLOTTE ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108-2727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819137 | Susan Marie Mou | Obstetrics & Gynecology | 2101 Charlotte St, Kansas City, MO 64108-2727 | 2005-05-23 |
| 1164054656 | Quinsie Marie Sanderson | Nurse Practitioner | 2101 Charlotte St, Kansas City, MO 64108-2727 | 2020-02-12 |
| 1851932685 | Stephanie Anne Korth | Nurse Practitioner | 2101 Charlotte St, Kansas City, MO 64108-2727 | 2019-10-02 |
| 1689142580 | Amel Tareq Abbas | Physician Assistant | 2101 Charlotte St, Kansas City, MO 64108-2727 | 2018-11-08 |
| 1619445053 | Jordan Key | Physician Assistant | 2101 Charlotte St, Kansas City, MO 64108 | 2018-11-04 |
| 1780171462 | Elizabeth A Braun | Registered Nurse | 2101 Charlotte St, Kansas City, MO 64108 | 2018-04-18 |
| 1992292809 | Erin Knight | Nurse Practitioner | 2101 Charlotte St, Kansas City, MO 64108-2727 | 2018-04-16 |
| 1477903441 | Jackson Sadler | Dentist | 2101 Charlotte St, University Health, Kansas City, MO 64108-2727 | 2016-06-20 |
| 1851763940 | Sabates Eye Centers, Pa | Eyewear Supplier (Equipment, not the service) | 2101 Charlotte St, Suite 230, Kansas City, MO 64108 | 2015-10-28 |
| 1740657451 | Carly D Skjervem | Nurse Practitioner | 2101 Charlotte St, Kansas City, MO 64108-2727 | 2015-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003466897 | Mcelhinney Eye Care, Pa | Ophthalmology | 1004 Carondelet Dr Ste 405, Kansas City, MO 64114-4801 | 2019-09-13 |
| 1003250606 | Manuel David Camejo | Ophthalmology | 4320 Wornall Rd Ste 220, Kansas City, MO 64111-5954 | 2013-04-25 |
| 1235366139 | Allen G Parelman | Ophthalmology | 402 W 50th St, Kansas City, MO 64112-2528 | 2009-06-17 |
| 1407929417 | Tauber Eye Center LLC | Ophthalmology | 4400 Broadway St Ste 202, Kansas City, MO 64111-3342 | 2006-11-16 |
| 1265532642 | Jerry William Cook | Ophthalmology | 7400 Nw Whipple Ln, Kansas City, MO 64152-1856 | 2006-09-25 |
| 1356357230 | Gurinder Singh | Ophthalmology | 155 South 18th Street, Suite 220, Kansas City, KS 66102 | 2006-07-31 |
| 1144265075 | Perfect Sense Eye Center PC | Ophthalmology | 211 Ne 54th, Ste 202, Kansas City, MO 64118-4337 | 2006-06-17 |
| 1447204441 | Amy E Ciccio | Ophthalmology | 7701 State Line Rd, Kansas City, MO 64114-1635 | 2006-05-22 |
| 1457310518 | Randolph Thomas Jackson | Ophthalmology | 11010 Haskell Ave, Kansas City, KS 66109-8500 | 2006-03-18 |
| 1245207398 | Louis Monaco II | Ophthalmology | 2301 Holmes, Kansas City, MO 64018-1192 | 2006-03-07 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
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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.