Kenneth Tanthanh Nguyen, D.O., M.S.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP61088631 Issued in WA

Practice address

2811 S 102ND St Ste 220
Tukwila, WA 98168-1869

Phone

(206) 320-4000

NPI assigned

Jun 25, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Thanh Tan Nguyen Former name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Master of Science

State licenses

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.

• CP Seattle Wa Hospice, LLC

  • Community Based Hospice Care Agency
  • Tukwila, WA
  • NPI 1174345193

  Family Medicine

  NPD
• Providence Health & Services - Washington

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Seattle, WA
  • NPI 1528719184
  NPD
• Providence Health & Services - Washington

  • Community Based Hospice Care Agency
  • Seattle, WA
  • NPI 1689827321

  Family Medicine

  NPD
• Accentcare Medical Group of Washington, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Washington, DC
  • NPI 1801630694
  NPD

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1306251509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 S 102ND ST STE 220",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981681869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 S 102ND ST STE 220",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981681869",
            "telephone_number": "206-320-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KENNETH",
        "middle_name": "TANTHANH",
        "name_prefix": "Dr.",
        "credential": "D.O., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10050257",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP61088631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THANH",
            "last_name": "NGUYEN",
            "middle_name": "TAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diem-Hong T Nguyen
• Duc Tien Nguyen, RPH
• Jennie Nguyen
• Johnson Nguyen
• Julie Nguyen, OD
• Lan CHI N Nguyen
• Linh Thi My Nguyen, PT, DPT
• Minh Anh Nguyen
• Phuong-Anh Natalie Nguyen, D.M.D
• Steve H Nguyen, D.D.S

• Family Medicine Physician in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.