NPIMap

Individual provider Active NPI

Liem Quang Trang, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Oklahoma City, OK
National Provider Identifier
1619084738
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
3429 Issued in OK
Practice address
3328 N Classen Blvd
Oklahoma City, OK 73118-3428
Phone
(405) 524-5200
Fax
(405) 524-5206
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 3429 OK Primary
Family Medicine Physician 207Q00000X 3429 OK

Addresses

Primary practice location

3328 N Classen Blvd
Oklahoma City, OK 73118-3428

Mailing address

3328 N Classen Blvd
Oklahoma City, OK 73118-3428
Phone (405) 524-5200

Other identifiers 1

IdentifierTypeStateIssuer
100125970BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100730000139 OK Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 8426181207 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology, Interventional Pain Management
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3328 N Classen Blvd
Oklahoma City, OK 73118-3428
Phone (405) 524-5200

Hospital & facility affiliations

  • The Physicians' Hospital in Anadarko Hospital, Anadarko, OK, CCN 371314
  • Rural Wellness Stroud Hospital Hospital, Stroud, OK, CCN 371316
  • Grady Memorial Hospital Hospital, Chickasha, OK, CCN 370054

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Wellness Anadarko Inc CurrentSince Apr 22, 2024 Accepting new patients
Ardmore Regional Surgery Center, LLC CurrentSince Jul 6, 2010 Accepting new patients
Rural Wellness Stroud Inc. CurrentSince Jan 1, 2026 Accepting new patients
Heritage Eye Surgery Center, LLC CurrentSince Jul 1, 1997 Accepting new patients
Rural Wellness Anadarko Inc CurrentSince Apr 22, 2024 Accepting new patients
Summit Medical Center Physicians Two, LLC Family Medicine PastSince Sep 1, 2014 Accepting new patients
Rural Wellness Fairfax Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients
Tupper Orthopedics PLLC PastSince Jun 11, 2023 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1002 E Central Blvd
Anadarko, OK 73005
Phone (405) 247-2551

2002 12th Ave NW
Ste C
Ardmore, OK 73401
Phone (580) 224-0007

2222 W Iowa Ave
Chickasha, OK 73018

Dept 960617
Oklahoma City, OK 73196

3328 N Classen Blvd
Oklahoma City, OK 73118
Phone (405) 524-5200

2308 W Highway 66
Stroud, OK 74079
Phone (918) 968-3571

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1619084738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 N CLASSEN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731183428",
            "telephone_number": "405-524-5200",
            "fax_number": "405-524-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3328 N CLASSEN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731183428",
            "telephone_number": "405-524-5200",
            "fax_number": "405-524-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANG",
        "first_name": "LIEM",
        "middle_name": "QUANG",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": "3429",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3429",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100125970B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.