Active NPI
Thien Thanh Ho, DO
- Internal Medicine Physician
- Yakima, WA
National Provider Identifier
1790212496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- WDL78ZZBF93B
- Practice address
- 12307 Douglas Rd
Yakima, WA 98908-9129 - Phone
- (831) 917-8099
- NPI assigned
- May 12, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 353446 | SC | |
| Internal Medicine Physician | 207R00000X | WDL78ZZBF93B | WA | Primary |
| General Practice Physician | 208D00000X | 5101025360 | MI |
Addresses
Primary practice location
12307 Douglas Rd
Yakima, WA 98908-9129
Mailing address
12307 Douglas Rd
Yakima, WA 98908-9129
Phone (831) 917-8099
Other practice location 1
169 Ashley Ave Rm 202
Charleston, SC 29425-9129
Phone (843) 792-9304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170828004147 | MI | Order and Referring Only - General Surgery | 7517230410 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 353446 | SC | MD | Internal Medicine Physician |
| WDL78ZZBF93B | WA | MD | Internal Medicine Physician |
| 5101025360 | MI | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1790212496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12307 DOUGLAS RD",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989089129",
"telephone_number": "831-917-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12307 DOUGLAS RD",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989089129",
"telephone_number": "831-917-8099"
}
],
"practiceLocations": [
{
"address_1": "169 Ashley Ave Rm 202",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294259129",
"country_code": "US",
"telephone_number": "843-792-9304",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HO",
"first_name": "THIEN",
"middle_name": "THANH",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-12",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "353446",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "WDL78ZZBF93B",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "5101025360",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.