DR. MAI VI HA HOANG (NPI# 1760745988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760745988 |
| Entity Type | Individual |
| Full Name | DR. MAI VI HA HOANG |
| Credential | M.D. |
| Practice Address |
1717 Yakima Ave # Ms 01-36 Tacoma WA 98405-4474 |
| Practice Telephone | 2534266341 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2018-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60544454 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE KING CO | G8943390 | 01 |
| MEDICARE PIERCE CO | G8943389 | 01 |
| Street Address |
1717 YAKIMA AVE # MS 01-36 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023534286 | Willa Alise Marinov | Family Medicine | 9040 Jackson Avenue Department of Family Medicine, Tacoma, WA 98431-0001 | 2017-08-19 |
| 1487186789 | Winnie Kirkpatrick Tsai | Family Medicine | 320 N Tacoma Ave Apt 502, Tacoma, WA 98403-2764 | 2017-03-28 |
| 1861842775 | Jessica Coulter | Family Medicine | Madigan Army Hospital 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2016-06-21 |
| 1770945065 | Karen Schowalter | Family Medicine | 5741 N 26th St Unit 115, Tacoma, WA 98407 | 2016-03-24 |
| 1497139943 | Whitney Elizabeth Hine | Family Medicine | 1812 S Mildred St Ste H, Tacoma, WA 98465-1634 | 2015-07-15 |
| 1871998138 | Stephen B Hillis M.d., P.s.,inc. | Family Medicine | 1901 S Cedar St Ste 108, Tacoma, WA 98405-2302 | 2014-10-29 |
| 1487919965 | Angela Marie Dunn | Family Medicine | 9040 Jackson Ave Fmc, Tacoma, WA 98431-5600 | 2012-07-10 |
| 1477831295 | Walton Preston Woodall Jr. | Family Medicine | 1102 N. Tacoma Ave, Tacoma, WA 98403-2931 | 2011-07-27 |
| 1063718492 | James M. Foss M. D. | Family Medicine | 13410 Pacific Ave S, Tacoma, WA 98444-4866 | 2011-02-02 |
| 1255635843 | Ronald Schubert Md Pllc | Family Medicine | 1811 Mariner Cir Ne, Tacoma, WA 98422-3470 | 2010-12-22 |
| Find all providers in TACOMA | ||||
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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.