Individual provider Active NPI

Anh Quan Tran Nguyen, MD

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1851629588
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-120760 Issued in OH
Practice address
4777 E Galbraith Rd
Dept. of Surgery
Cincinnati, OH 45236-2725
Phone
(513) 686-5466
Fax
(513) 686-5469
NPI assigned
Nov 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 57.017281 OH
Family Medicine Physician 207Q00000X 35-120760 OH Primary

Addresses

Primary practice location

4777 E Galbraith Rd
Dept. of Surgery
Cincinnati, OH 45236-2725

Mailing address

4777 E Galbraith Rd
Dept. of Surgery
Cincinnati, OH 45236-2725
Phone (513) 686-5466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20131119000604 OH Practitioner - Emergency Medicine 5991931040 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-120760OHMDFamily Medicine Physician
57.017281OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Emergency Professionals Inc CurrentSince Sep 18, 2013 Accepting new patients

Locations

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1851629588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 E GALBRAITH RD",
            "address_2": "DEPT. OF SURGERY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362725",
            "telephone_number": "513-686-5466",
            "fax_number": "513-686-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 E GALBRAITH RD",
            "address_2": "DEPT. OF SURGERY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362725",
            "telephone_number": "513-686-5466",
            "fax_number": "513-686-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANH QUAN",
        "middle_name": "TRAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-18",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "57.017281",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-120760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.