Phuong Tran Courtney, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA057576 Issued in PA

Practice address

1613 North Atherton Street
Suite B
State College, PA 16803

Phone

(814) 238-1066

NPI assigned

Jul 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Phuong Thi Tran Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Urgent Care, PC - Pennsylvania

  • Emergency Medicine Physician
  • Pittsburgh, PA
  • NPI 1982839031
  Medicare reassignment
• Medexpress Urgent Care, PC - Pennsylvania

  • Urgent Care Clinic/Center
  • Saint Clair, PA
  • NPI 1720545320
  NPD
• Medexpress Urgent Care, PC - Pennsylvania

  • Urgent Care Clinic/Center
  • Hershey, PA
  • NPI 1811414105
  NPD

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1114301330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 NORTH ATHERTON STREET",
            "address_2": "SUITE B",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16803",
            "telephone_number": "814-238-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 NORTH ATHERTON STREET",
            "address_2": "SUITE B",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16803",
            "telephone_number": "814-238-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "PHUONG",
        "middle_name": "TRAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHUONG",
            "last_name": "TRAN",
            "middle_name": "THI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Manuel Corona, PT, DPT, LAT, ATC
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• Thomas E Covaleski, M.D.
• Michael Gene Covone
• Sara Marie Covone, PA-C
• Clare E Cowen
• Sandra L. Craig, LCSW

• Physician Assistant in State College, PA
• Providers in State College, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.