Dr.Ngocphuongtran,DO, PA

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

OOH46M Issued in TX

Legal business name

DR.NGOCPHUONGTRAN,DO, PA

Practice address

1611 Ohlen Rd
Austin, TX 78758-7119

Phone

(512) 873-7173

Fax

(512) 835-9334

NPI assigned

Nov 21, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ngocphuong Thi Tran, D.O.NPI 1215944087

Title

President

Phone

(512) 873-7174

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ngoc-Phuong Thi Tran, D.O

  • Family Medicine Physician
  • Austin, TX
  • NPI 1215944087
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1053613216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 OHLEN RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787587119",
            "telephone_number": "512-873-7173",
            "fax_number": "512-835-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 OHLEN RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787587119",
            "telephone_number": "512-873-7173",
            "fax_number": "512-835-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.NGOCPHUONGTRAN,DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-21",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "NGOCPHUONG",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-873-7174",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "OOH46M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Austin, TX
• Providers in Austin, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.