Thanh Van DO, M. D., P. a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

J5087 Issued in TX

Legal business name

THANH VAN DO, M. D., P. A.

Practice address

12121 Richmond Ave
Suite # 216
Houston, TX 77082-2432

Phone

(281) 496-1010

Fax

(281) 599-1506

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Thanh Van DO, M. D.NPI 1083663033

Title

Physician/Director

Phone

(832) 578-6958

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thanh V DO, M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1083663033
  Medicare reassignment NPD Authorized official
• Simon Tin Yeang Pan, DPM

  • Podiatrist
  • Houston, TX
  • NPI 1841394343
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1487769113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21015 CRYSTAL GREENS DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508650",
            "telephone_number": "832-578-6958",
            "fax_number": "281-599-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE",
            "address_2": "SUITE # 216",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822432",
            "telephone_number": "281-496-1010",
            "fax_number": "281-599-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THANH VAN DO, M. D., P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "THANH",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PHYSICIAN/DIRECTOR",
        "authorized_official_telephone_number": "832-578-6958",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "J5087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1490443-04",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0067KP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jimmy Nguyen Thang
• Nguyen N Thang, DMD
• Susie Thang, PHARMD
• Thanh John Van MD PA
• Thanh K. Hoang, M.D., P.a.
• Saradadevi Thanikachalam
• Jennifer Thankachan, APRN
• Devang Thanki, DO
• Thanks Therapy Counseling and Consulting, PLLC
• Anna Thannickal, PA-C

• Primary Care Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.