Nguyen Viet Ta, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

9901337 Issued in NC

Practice address

1433 Emerywood Dr
Ste D
Charlotte, NC 28210-4105

Phone

(704) 554-8880

NPI assigned

Sep 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Thuanhanh T. Nguyen, M.D., P.a.

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1578663290

  Pediatrics

  Medicare reassignment NPD

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1831186535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240296",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282240296",
            "telephone_number": "704-554-8880",
            "fax_number": "704-554-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 EMERYWOOD DR",
            "address_2": "STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104105",
            "telephone_number": "704-554-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TA",
        "first_name": "NGUYEN",
        "middle_name": "VIET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9901337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis C. Szurkus Jr., M.D.
• T & T Healthcare, PLLC
• Ta Powe Corporation
• Dat Thanh Ta, MD
• Nang Thomas Ta, MD
• Jacob Morris Taback, LCSWA
• Camila Tabares Vivas
• Rekha Tabjula, OTR/L
• Sandra Sue Tabolt, CADC
• Michael F Tabone, DO

• Pediatrics Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.

Verify at the official NPI Registry.