THIEN T LUU MD PA (NPI# 1760599153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760599153 |
| Entity Type | Organization |
| Organization Name | THIEN T LUU MD PA |
| Practice Address |
2000 W 21st E-2 Clovis NM 88101 |
| Practice Telephone | 5757623726 |
| Practice Fax Number | 5757623727 |
| Mailing Telephone | 5757623726 |
| Mailing Fax Number | 5757623727 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-10-11 |
| Authorized Official Name | DZUNG LUU (OFFICE MANAGER) |
| Authorized Official Telephone | 5757623727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 84-70 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 33779 | 05 |
| Street Address |
2000 W 21ST E-2 |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629370903 | Parmala Kumari Bangar | Pediatrics | 180 W Shaw Ave, Clovis, CA 93612-3746 | 2010-11-18 |
| 1700195195 | Ian Ocrant | Pediatrics | 377 W Spruce Ave, 101, Clovis, CA 93611-3303 | 2010-10-01 |
| 1487982096 | William Thomas Vanbeever | Pediatrics | 275 West Herndon Ave, Clovis, CA 93612-1353 | 2009-11-20 |
| 1225116114 | John C. Kircher | Pediatrics | 7819 N Willow Ave, Clovis, CA 93611-8334 | 2006-11-01 |
| 1417946195 | Salvatore La Fata | Pediatrics | 2020 Sheffield Dr, Clovis, NM 88101-4940 | 2005-10-17 |
| 1447860614 | Health-e Pediatrics | Pediatrics | 1865 Herndon Ave Ste K616, Clovis, CA 93611-6163 | 2020-08-03 |
| 1912369927 | Jesse Adam Alifano | Pediatrics | 275 W Herndon Ave, Clovis, CA 93612 | 2016-03-28 |
| 1437403813 | Basil A Anaele | Pediatrics | 1521 W 13th St, Clovis, NM 88101-5568 | 2012-11-06 |
| 1679830368 | Nancy Hua | Pediatrics | 726 N Medical Center Dr E Ste 209, Clovis, CA 93611-6886 | 2012-04-18 |
| 1972896157 | Patrick Chad Shepherd | Pediatrics | 726 N Medical Center Dr E Ste 209, Clovis, CA 93611-6886 | 2011-05-23 |
| Find all providers in CLOVIS | ||||
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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.