Active NPI
Thanh Minh DO, D.O.
- General Practice Physician
- Fairfax, VA
National Provider Identifier
1902854250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0102201001
- Practice address
- 3019 Rosemoor LN
Fairfax, VA 22031-2126 - Phone
- (703) 599-9426
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0102201001 | VA | |
| General Practice Physician | 208D00000X | 0102201001 | VA | Primary |
Addresses
Primary practice location
3019 Rosemoor LN
Fairfax, VA 22031-2126
Mailing address
3019 Rosemoor LN
Fairfax, VA 22031-2126
Phone (703) 599-9426
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010266726 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Virginia Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
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.
-
- Nurse Practitioner
- Arlington, VA
- NPI 1225053390
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1902854250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3019 ROSEMOOR LN",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312126",
"telephone_number": "703-599-9426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3019 ROSEMOOR LN",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312126",
"telephone_number": "703-599-9426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "THANH",
"middle_name": "MINH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0102201001",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0102201001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010266726",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.