Active NPI
Hien Quang Tran, MD
- Psychosomatic Medicine Physician
- La Place, LA
National Provider Identifier
1104034586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychosomatic Medicine Physician
- License
- 07920R
- Practice address
- 1809 W Airline Hwy
La Place, LA 70068-3336 - Phone
- (985) 652-8444
- Fax
- (985) 652-2450
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | 07920R | LA | Primary |
Addresses
Primary practice location
1809 W Airline Hwy
La Place, LA 70068-3336
Mailing address
41335 Rue Chene
Ponchatoula, LA 70454-7099
Phone (225) 294-9987
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07920R | Other | LA | LICENSE |
| 1670847 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07920R | LA | MD | Psychosomatic Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Health and Hospitals | Past | Accepting new patients | |
| Louisiana Department of Health, Department of Health and Hospitals | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Raceland, LA
- NPI 1619020559
-
- Skilled Nursing Facility
- New Orleans, LA
- NPI 1730674557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104034586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41335 RUE CHENE",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704547099",
"telephone_number": "225-294-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 W AIRLINE HWY",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700683336",
"telephone_number": "985-652-8444",
"fax_number": "985-652-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "HIEN",
"middle_name": "QUANG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "LA",
"license": "07920R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "07920R",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1670847",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Place, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.