Organization Active NPI

Thuanhanh T. Nguyen, M.D., P.a.

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1578663290
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200201583 Issued in NC
Legal business name
THUANHANH T. NGUYEN, M.D., P.A.
Practice address
1433 Emerywood Dr
Ste D
Charlotte, NC 28210-4105
Phone
(704) 554-8880
Fax
(704) 554-8883
NPI assigned
Sep 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Dr. Thuanhanh Thi Nguyen, M.D.NPI 1285622407
Title
President/Owner
Phone
(704) 554-8880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 200201583 NC Primary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 9901337 NC

Addresses

Primary practice location

1433 Emerywood Dr
Ste D
Charlotte, NC 28210-4105

Mailing address

PO Box 240296
Charlotte, NC 28224-0296
Phone (704) 554-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040117000114 NC Part B Supplier - Clinic/Group Practice 3375444896 Receives reassigned benefits from 2 practitioners
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

1433 Emerywood Dr
Ste D
Charlotte, NC 28210
Phone (704) 554-8880

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1578663290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240296",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282240296",
            "telephone_number": "704-554-8880",
            "fax_number": "704-554-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 EMERYWOOD DR",
            "address_2": "STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104105",
            "telephone_number": "704-554-8880",
            "fax_number": "704-554-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUANHANH T. NGUYEN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-23",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THUANHANH",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "704-554-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200201583",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9901337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.