Active NPI
Tung M Tran, MD
- Family Medicine Physician
- Orlando, FL
National Provider Identifier
1649299439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME42262
- Practice address
- 6101 Lake Ellenor Dr
Orlando, FL 32809-4616 - Phone
- (407) 858-1400
- NPI assigned
- Jul 19, 2006
- Last updated
- Dec 19, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME42262 | FL | Primary |
Addresses
Primary practice location
6101 Lake Ellenor Dr
Orlando, FL 32809-4616
Mailing address
6101 Lake Ellenor Dr
Orlando, FL 32809-4616
Phone (407) 858-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041577400 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME42262 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1649299439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 LAKE ELLENOR DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328094616",
"telephone_number": "407-858-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 LAKE ELLENOR DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328094616",
"telephone_number": "407-858-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "TUNG",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME42262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041577400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.