Active NPI
Thien Trang Thi Tran, M.D.
- Pediatrics Physician
- St Petersburg, FL
National Provider Identifier
1881854693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 101310
- Practice address
- 2701 54TH Ave S
St Petersburg, FL 33712-4777 - Phone
- (727) 867-5788
- NPI assigned
- Jun 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME 101310 | FL | Primary |
Addresses
Primary practice location
2701 54TH Ave S
St Petersburg, FL 33712-4777
Mailing address
4522 Hidden Shadow Dr
Tampa, FL 33614-1468
Phone (813) 887-3886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000057400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 101310 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics | Pediatrics | Current | Accepting new patients |
| Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics | Pediatrics | Past | Accepting new patients |
| Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics | Pediatrics | Past | Accepting new patients |
| Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics | Pediatrics | Past | Accepting new patients |
| Mariano D Cibran, MD Corp Dba St Petersburg Pediatrics | Pediatrics | Past | Accepting new patients |
Locations
2701 54th Ave S
St Petersburg, FL 33712
Phone (727) 867-5788
Interoperability endpoints
- ttran189089@orlandohealth.medalliesdirect.net
Organizations & group practices 6
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.
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1558936922
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1154996510
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1578640181
-
- Pediatrics Physician
- Largo, FL
- NPI 1780259168
-
- Pediatrics Physician
- Seminole, FL
- NPI 1831764299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1881854693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4522 HIDDEN SHADOW DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336141468",
"telephone_number": "813-887-3886",
"fax_number": "813-887-3886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 54TH AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337124777",
"telephone_number": "727-867-5788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "THIEN TRANG",
"middle_name": "THI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-15",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 101310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000057400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.