Active NPI
Anita Tu Tran, PA-C
- Physician Assistant
- West Hartford, CT
National Provider Identifier
1629378443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002449
- Practice address
- 345 N Main St
Suite 200
West Hartford, CT 06117-2515 - Phone
- (860) 236-1306
- NPI assigned
- Oct 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002449 | CT | Primary |
Addresses
Primary practice location
345 N Main St
Suite 200
West Hartford, CT 06117-2515
Mailing address
75 Hockanum Blvd
Unit 1626
Vernon, CT 06066-4056
Phone (225) 362-2420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002449 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MJS Med LLC | Past | Accepting new patients | |
| MWL-Wallingford | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Wallingford, CT
- NPI 1790214518
-
- Family Medicine Physician
- Wallingford, CT
- NPI 1346858867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1629378443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 HOCKANUM BLVD",
"address_2": "UNIT 1626",
"city": "VERNON",
"state": "CT",
"postal_code": "060664056",
"telephone_number": "225-362-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 N MAIN ST",
"address_2": "SUITE 200",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172515",
"telephone_number": "860-236-1306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "ANITA",
"middle_name": "TU",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-26",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "002449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.