Individual provider Active NPI

Thao Thanh Vuong, M.D

  • General Practice Physician
  • Seattle, WA
National Provider Identifier
1386715076
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD00024983 Issued in WA
Practice address
1200 S Jackson St
Ste 24
Seattle, WA 98144-2042
Phone
(206) 329-1728
Fax
(206) 329-4752
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD00024983 WA Primary

Addresses

Primary practice location

1200 S Jackson St
Ste 24
Seattle, WA 98144-2042

Mailing address

1200 S Jackson St
Ste 24
Seattle, WA 98144-2042
Phone (206) 329-1728

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090923000723 WA Practitioner - General Practice 0547316150 Practice locations: Seattle, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386715076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S JACKSON ST",
            "address_2": "STE 24",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442042",
            "telephone_number": "206-329-1728",
            "fax_number": "206-329-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S JACKSON ST",
            "address_2": "STE 24",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442042",
            "telephone_number": "206-329-1728",
            "fax_number": "206-329-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUONG",
        "first_name": "THAO",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00024983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.