Thuy Khanh Minh Pho, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

026220 Issued in LA

Practice address

9270 Siegen LN
Suite 202
Baton Rouge, LA 70810-1998

Phone

(225) 766-8152

NPI assigned

Jun 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Providence Medical Clinic

  • Primary Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1700092442
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790989606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 TANGLEBRIAR DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708105195",
            "telephone_number": "225-766-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9270 SIEGEN LN",
            "address_2": "SUITE 202",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101998",
            "telephone_number": "225-766-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHO",
        "first_name": "THUY KHANH",
        "middle_name": "MINH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "026220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1052523",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Blum Phillips, RN, IBCLC
• Melissa Hulgan Phillips, FNP-C
• Ryan Dale Phillips, LPC
• Salli Berry Phillips, LCSW
• Frank Phinney, LPC
• Phoebe and Friends Counseling LLC
• Phoenix Pharmacy Operations, LLC
• Phoenix Pharmacy Operations, LLC
• Chelinh D Phung, PA
• Physical Medicine and Rehabilitation Consultants

• General Practice Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.