Tram Thi Thu Che
Individual provider Active NPI Physician Assistant · Gainesville, FL
NPI 1407686348 · NPPES record last updated Nov 18, 2024
Key facts
- NPI
- 1407686348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA9119378 (FL)
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610-8088 - Phone
- (352) 265-0111
- NPI assigned
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241226001904 | FL | Practitioner - Physician Assistant | 4385171610 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9119378 | FL | MD | Physician Assistant |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current |
Accepting new patients | |
| Florida Clinical Practice Association Inc | Current |
Accepting new patients |
Locations
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- tche747549@direct.shands.ufl.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9119378 | FL | Yes |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610-8088
Mailing address
PO Box 100186
Gainesville, FL 32610-0186
Phone (352) 265-5911
Other practice location 1
6675 Corporate Center Pkwy
Suite 115
Jacksonville, FL 32216-8088
Phone (904) 245-8910 ext. 001
Other providers in Gainesville, FL
- Ricardo Chavez
- Elyse Marie Chaviano
- CHC of Gainesville, LLC
- Mabel Mambo Che-Tuma
- Fru Che
- Victoria Larranaga Cheatwood
- Mohamad Chehab
- Charlaine Chen
- Connie Chen
- Jinghua Chen
All providers in Gainesville, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.