THAO NGUYEN TRAN (NPI# 1891761524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891761524 |
Entity Type | Individual |
Full Name | THAO NGUYEN TRAN |
Other Name | THAO KIMPHUONG NGUYEN |
Credential | MD |
Practice Address |
7201 Green Bay Rd Ste C Kenosha WI 53142-3532 |
Practice Telephone | 2628422358 |
Practice Fax Number | 8889598367 |
Mailing Telephone | 2628422358 |
Mailing Fax Number | 8889598367 |
Enumeration Date | 2006-02-23 |
Last Update Date | 2015-02-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | 44790-20 | WI | Allopathic & Osteopathic Physicians |
N | 207W00000X | Ophthalmology | 036099127 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | ILLINOIS LICENSE | 036099127 | 01 |
WI | MEDICARE PTAN | K400133004 | 01 |
WI | WISCONSIN LICENSE | 44790-20 | 01 |
IL | MEDICARE PTAN | F400110685 | 01 |
CAQH | 11357585 | 01 | |
WI | DEA | FT4495885 | 01 |
WI | 34243100 | 05 | |
IL | DEA | BT6306484 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902421563 | Thao Tran | Pharmacist | 3050 W Grand Pkwy S, Katy, TX 77494-1502 | 2020-06-10 |
1346715661 | Thao Dieu Tran | Nurse Practitioner | 9191 Westminster Ave Ste 207, Garden Grove, CA 92844-2751 | 2018-10-13 |
1659884914 | Thao Michelle Tran | Pharmacist | 9386 Lily Ave, Fountain Valley, CA 92708-2263 | 2017-11-09 |
1710300157 | Thao Tran | Pharmacist | 5017 Palo Duro Ave Ne, Albuquerque, NM 87110-1113 | 2014-01-21 |
1053654830 | Thao Hieu Tran | Pharmacist | 709 S Arapaho Dr, Santa Ana, CA 92704-1413 | 2013-03-31 |
1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
1801118526 | Thao Phuong Tran | Nurse Practitioner | 100 Howe Ave Ste 220n, Sacramento, CA 95825-8221 | 2010-02-22 |
1437275120 | Thao Thanh-thi Tran | Pharmacist | 1718 Aspenwood Dr, Hampton, VA 23666-3061 | 2007-03-22 |
1144354689 | Thao Tran | Optometrist | 2069 Westminster Mall, Westminster, CA 92683-4947 | 2007-03-15 |
1962581421 | Thao Phuong Tran | Optometrist | 44546 10th Street West, Lancaster, CA 93534-3333 | 2006-11-03 |
Street Address |
7201 GREEN BAY RD STE C |
City | KENOSHA |
State | WI |
Zip Code | 53142-3532 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639509789 | Thao Nguyen Tran Md Sc | Ophthalmology | 7201 Green Bay Rd Ste C, Kenosha, WI 53142-3532 | 2013-11-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
Find all providers in zip 53142 |
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 |
---|---|---|---|---|
1750504346 | V. Stephen Slana, M.d., S.c. | Ophthalmology | 6125 Green Bay Rd Ste 800, Kenosha, WI 53142-2982 | 2007-04-11 |
1730155573 | Victor Stephen Slana | Ophthalmology | 6125 Green Bay Rd, Ste 800, Kenosha, WI 53142-2928 | 2006-02-23 |
1578162558 | Southeast Eye | Ophthalmology | 6125 Green Bay Rd Ste 800, Kenosha, WI 53142-2982 | 2020-10-21 |
1639509789 | Thao Nguyen Tran Md Sc | Ophthalmology | 7201 Green Bay Rd Ste C, Kenosha, WI 53142-3532 | 2013-11-26 |
1801094313 | Saba J Kadlec | Ophthalmology | 6815 118th Ave, Kenosha, WI 53142-8420 | 2007-07-05 |
1639247828 | Vincent Paul Savaglio | Ophthalmology | 3535 30th Avenue, Suite 102, Kenosha, WI 53144 | 2006-12-04 |
1245308477 | Savaglio Eye Clinic Sc | Ophthalmology | 3535 30th Avenue, Suite 102, Kenosha, WI 53144 | 2006-12-04 |
1932284296 | Eugene John Eldridge | Ophthalmology | 1400 75th St, Suite 3, Kenosha, WI 53143-1544 | 2006-10-26 |
1073610242 | E John Eldridge Md Sc | Ophthalmology | 1400 75th St, Suite 3, Kenosha, WI 53143 | 2006-09-20 |
1346357639 | Mary F Schroeder-capelli | Ophthalmology | 10400 75th St, Kenosha, WI 53142 | 2006-08-24 |
Find all providers in KENOSHA |
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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.