Individual provider Active NPI

Thi Thanh Nguyen, DO

  • Family Medicine Physician
  • Port Arthur, TX
National Provider Identifier
1427343623
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P7823 Issued in TX
Practice address
3620 Highway 365
Suite 400
Port Arthur, TX 77642-7716
Phone
(409) 344-4557
NPI assigned
Jun 15, 2011
Last updated
Jul 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P7823 TX Primary

Addresses

Primary practice location

3620 Highway 365
Suite 400
Port Arthur, TX 77642-7716

Mailing address

3620 Highway 365
Suite 400
Port Arthur, TX 77642-7716
Phone (409) 344-4557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150422000624 TX Practitioner - Family PracticePractitioner - General PracticePractitioner - General SurgeryPractitioner - Osteopathic Manipulative Medicine 4981929486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice, Osteopathic Manipulative Medicine
Education
At Still University, Arizona School of Dentistry & Oral HLTH, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Response Urgent CareGroup PAC ID 0446578520, 4 clinicians
First Response Urgent Care-LumbertonGroup PAC ID 2466861927, 4 clinicians

Practice addresses (Care Compare)

3620 FM Hwy 365
Suite 400
Port Authur, TX 77642-7717
Phone (409) 344-4557

434 N LHS Dr
Suite 500
Lumberton, TX 77657-1209
Phone (409) 344-4557

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P7823TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Response Urgent Care CurrentSince May 9, 2015 Accepting new patients
First Response Urgent Care-Lumberton CurrentSince Feb 5, 2021 Accepting new patients

Locations

434 N Lhs Dr
Ste 500
Lumberton, TX 77657
Phone (409) 344-4557

3620 Highway 365
Ste 400
Port Arthur, TX 77642
Phone (409) 344-4557

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1427343623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 HIGHWAY 365",
            "address_2": "SUITE 400",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427716",
            "telephone_number": "409-344-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 HIGHWAY 365",
            "address_2": "SUITE 400",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427716",
            "telephone_number": "409-344-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THI",
        "middle_name": "THANH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P7823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.