Individual provider Active NPI

Thien Thanh Ho, DO

  • Internal Medicine Physician
  • Yakima, WA
National Provider Identifier
1790212496
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
WDL78ZZBF93B Issued in WA
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

Updated by the provider on Oct 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170828004147 MI Order and Referring Only - General SurgeryPractitioner - General Surgery 7517230410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
353446SCMDInternal Medicine Physician
WDL78ZZBF93BWAMDInternal Medicine Physician
5101025360MIMDGeneral 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

Verify at the official NPI Registry.