Active NPI
Thien Quang Nguyen, PA-C
- Medical Physician Assistant
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA09536
- Practice address
- 5915 La Crosse Avneue
BLDG 2, Ste 140
Austin, TX 78739-1783 - Phone
- (503) 300-4111
- Fax
- (503) 954-2122
- NPI assigned
- Oct 5, 2014
- Last updated
- Nov 16, 2023
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA09536 | TX | Primary |
Addresses
Primary practice location
5915 La Crosse Avneue
BLDG 2, Ste 140
Austin, TX 78739-1783
Mailing address
5915 La Crosse Avneue
BLDG 2, Ste 140
Austin, TX 78739-1783
Phone (503) 300-4111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2126 Opal Ave
Yellowstone National Park, WY 82190
Phone (703) 578-6030
Old Faithful Clinic 122 Clinic LN
Yellowstone National Park, WY 82190
Phone (703) 578-6030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA09536 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Medcor of Barrington, P.C. | Current | Accepting new patients | |
| Pacific Crest Childrens Urgent Care LLC | Past | Accepting new patients |
Locations
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Yellowstone National Park, WY
- NPI 1427766427
-
dba HCHD Community Medicine
- Family Medicine Physician
- Houston, TX
- NPI 1053352914
-
- Critical Care Medicine (Internal Medicine) Physician
- Austin, TX
- NPI 1447435805
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1649669672
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Family Medicine Physician
- McHenry, IL
- NPI 1225122344
-
dba Brave Care
- Urgent Care Clinic/Center
- Portland, OR
- NPI 1164947701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1760885792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5915 LA CROSSE AVNEUE",
"address_2": "BLDG 2, STE 140",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787391783",
"telephone_number": "503-300-4111",
"fax_number": "503-954-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5915 LA CROSSE AVNEUE",
"address_2": "BLDG 2, STE 140",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787391783",
"telephone_number": "503-300-4111",
"fax_number": "503-954-2122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THIEN",
"middle_name": "QUANG",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-05",
"last_updated": "2023-11-16",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA09536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.