Thomas Henry Nguyen Quattlebaum (NPI# 1700176179, PAC ID# 8325292691) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1700176179 |
| PAC ID by PECOS | 8325292691 |
| Professional Enrollment ID | I20141209002153 |
| Full Name | Thomas Henry Nguyen Quattlebaum |
| Organization Legal Name | DHHS PHS NAIHS SHIPROCK HOSPITAL |
| Address |
34 Navajo Rte Sanostee NM 87461 |
| Phone Number | 5057322484 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0749193837 |
| Number of Group Practice Members | 176 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320059 | NORTHERN NAVAJO MEDICAL CENTER |
| 320005 | SAN JUAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 34 Navajo Rte, Sanostee, NM 87461 | 5057322484 | DHHS PHS NAIHS SHIPROCK HOSPITAL |
| Organization Legal Name | DHHS PHS NAIHS SHIPROCK HOSPITAL |
| Physicians | 169 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary L Gitlin | Internal Medicine | Dhhs Phs Naihs Shiprock Hospital | Highway 491, Shiprock, NM 87420-0160 |
| Preyanka Makadia | Family Medicine | Dhhs Phs Naihs Shiprock Hospital | Navajo Route 19, Toadlena, NM 87324 |
| Ralph Henry Smith | Physician Assistant | Dhhs Phs Naihs Shiprock Hospital | Us Hwy 160 and Navajo Route 35-red Mesa, Teecnospos, AZ 86514 |
| Bert C Eliason | Family Practice | Dhhs Phs Naihs Shiprock Hospital | Four Corners Regional Health Ctr, Us Hwy 160 and Navajo Route 35 Red Mesa, Teecnospos, AZ 86514 |
| John Michael Balintona | Obstetrics/gynecology | Dhhs Phs Naihs Shiprock Hospital | 6 Rd, Suite 7586, Bloomfield, NM 87413-4934 |
| David Greenberg | Family Medicine | Dhhs Phs Naihs Shiprock Hospital | Highway 491, Shiprock, NM 87420-0160 |
| Donielle Dawn Bigman | Nurse Practitioner | Dhhs Phs Naihs Shiprock Hospital | Highway 491, Shiprock, NM 87420-0160 |
| Erin Wilson | Physician Assistant | Dhhs Phs Naihs Shiprock Hospital | Highway 491, Shiprock, NM 87420-0160 |
| Judith Marie Bealke | Psychiatry | Dhhs Phs Naihs Shiprock Hospital | Highway 491, Shiprock, NM 87420-0160 |
| Angelique Pflueger | Diagnostic Radiology | Dhhs Phs Naihs Shiprock Hospital | Us Hwy 160 and Navajo Route 35-red Mesa, Teecnospos, AZ 86514 |
| Street Address |
34 NAVAJO RTE |
| City | SANOSTEE |
| State | NM |
| Zip | 87461 |
| City | SANOSTEE |
| Zip Code | 87461 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SANOSTEE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Thomas Henry Nguyen Quattlebaum.
| 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.