Khin Zan Tha, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35071451T Issued in OH

Practice address

1607 State Rd
Suite 6
Vermilion, OH 44089-9142

Phone

(440) 967-8713

Fax

(440) 967-1938

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health Partners Physicians Inc

  • Internal Medicine Physician
  • Amherst, OH
  • NPI 1598702318

  Family Medicine

  NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1598864191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636461",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636461",
            "telephone_number": "440-988-1009",
            "fax_number": "440-988-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 STATE RD",
            "address_2": "SUITE 6",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440899142",
            "telephone_number": "440-967-8713",
            "fax_number": "440-967-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THA",
        "first_name": "KHIN ZAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35071451T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP",
            "identifier": "9284956",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0236248",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodie P Szivan
• Joseph Ryan Szivan
• Brandon Talbert
• Telich and Ladopoulos, D.D.S., Inc.
• Martin H Telich, D.D.S.
• Elizabeth Marie Thaxton, NP
• Therapy Unscripted LLC
• Sonja Thompson
• Tameka Thornton
• Christopher J Tomshack, DC

• All providers in Vermilion, OH
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.