Thao Nguyen Tran


Address: 7201 Green Bay Rd C, Kenosha, WI 53142-3532

Thao Nguyen Tran (NPI# 1891761524, PAC ID# 7517025992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.

Physician Overview

Nation Provider ID (NPI) 1891761524
PAC ID by PECOS 7517025992
Professional Enrollment ID I20081029000531
Full Name Thao Nguyen Tran
Address 7201 Green Bay Rd C
Kenosha
WI 53142-3532
Gender F
Medical School BAYLOR COLLEGE OF MEDICINE
Graduation Year 1994
Primary Specialty OPHTHALMOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
520021 UNITED HOSPITAL SYSTEM
140202 ADVOCATE CONDELL MEDICAL CENTER

Other Locations

Address Phone Organization
7201 Green Bay Rd C, Kenosha, WI 53142-3532
1641 N Milwaukee Ave, Suite 10, Libertyville, IL 60048-1350

Organization Information

Office Location

Street Address 7201 GREEN BAY RD C
City KENOSHA
State WI
Zip 53142-3532

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Randall J Hammett Chiropractic 6500 67th St, Kenosha, WI 53142-1403
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Rodrigo B Mata Iii Internal Medicine 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142-2927
Nancy Guadagno Clinical Social Worker 6123 Green Bay Rd, Suite 240, Kenosha, WI 53142-2927
Shellie Kaye Babcock Clinical Social Worker 6123 Green Bay Rd, Suite 240, Kenosha, WI 53142-2927
Chad E Sloden Chiropractic Sports and Family Chiropractic LLC 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927
Nicholas Joseph Hollendonner Chiropractic Sports and Family Chiropractic LLC 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927
Pushparanee Babusukumar Psychiatry Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928
Tom A Defrancesco Clinical Social Worker Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928
Donna J Hayes Podiatry 6125 Green Bay Rd, Suite 600, Kenosha, WI 53142-2928
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Competitor

Search similar physicians

City KENOSHA
Zip Code 53142
Specialty OPHTHALMOLOGY
City + Specialty KENOSHA + OPHTHALMOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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