Active NPI
Robert Thuan, MD
- Surgery Physician
- Dickson, TN
National Provider Identifier
1770586745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD10327
- Practice address
- 113 Highway 70 E
Dickson, TN 37055-2075 - Phone
- (615) 446-5121
- Fax
- (615) 446-1357
- NPI assigned
- May 24, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD10327 | TN | Primary |
Addresses
Primary practice location
113 Highway 70 E
Dickson, TN 37055-2075
Mailing address
127 Crestview Park Dr
Dickson, TN 37055-2850
Phone (615) 446-5121
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3179495 | Medicaid | TN | |
| 020047463 | Other | RAILROAD MEDICARE PIN | |
| 3158269 | Other | TN | BLUE CROSS BLUE SHIELD TN |
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 |
|---|---|---|---|
| 10327 | TN | MD | Pharmacist |
| MD10327 | TN | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1770586745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 CRESTVIEW PARK DR",
"city": "DICKSON",
"state": "TN",
"postal_code": "370552850",
"telephone_number": "615-446-5121",
"fax_number": "615-446-1357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 HIGHWAY 70 E",
"city": "DICKSON",
"state": "TN",
"postal_code": "370552075",
"telephone_number": "615-446-5121",
"fax_number": "615-446-1357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THUAN",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "MD10327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3179495",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "020047463",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TN",
"identifier": "3158269",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dickson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.