MAUNG HTEIN THU (NPI# 1063893949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063893949 |
Entity Type | Individual |
Full Name | MAUNG HTEIN THU |
Other Name | JAMES THU |
Credential | M.D |
Practice Address |
3 Saint Elizabeth Blvd Ste 5000 O Fallon IL 62269-1282 |
Practice Telephone | 6186415803 |
Practice Fax Number | 6186075116 |
Mailing Telephone | 6186415803 |
Enumeration Date | 2015-06-16 |
Last Update Date | 2020-07-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 036153406 | IL | Allopathic & Osteopathic Physicians |
Street Address |
3 SAINT ELIZABETH BLVD STE 5000 |
City | O FALLON |
State | IL |
Zip Code | 62269-1282 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902889793 | Kostantinos Elias Psihramis | Urology | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 | 2005-11-25 |
1255848214 | Elayna Leah Temares | Nurse Practitioner | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1099 | 2017-12-29 |
1245752211 | Joseph Edward Scott | Physician Assistant | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 | 2017-07-12 |
1164956066 | Kimberly Burgess | Nurse Practitioner | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 | 2017-04-18 |
1255741278 | Zachary Berg | Internal Medicine | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 | 2014-04-29 |
1023379369 | Travis J Junge | Orthopaedic Surgery | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 | 2012-06-04 |
1669785408 | Bassim Assioun | Internal Medicine | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 | 2010-07-22 |
1619940640 | Randall E Dooley | Urology | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 | 2006-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
Find all providers in zip 62269 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902889793 | Kostantinos Elias Psihramis | Urology | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 | 2005-11-25 |
1619940640 | Randall E Dooley | Urology | 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 | 2006-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
1912436015 | Robert Ara Petrossian | Urology | 301 N 8th St # 4b143c, Springfield, IL 62701-1041 | 2017-06-12 |
1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
1619337912 | George Robert Buckun | Urology | 930 Rogers St., #301, Downers Grove, IL 60515 | 2016-02-29 |
1275991606 | Nicole Alyssa Hamilton | Urology | 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 | 2016-01-30 |
1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
1386053759 | Ramiro Felix Prudencio | Urology | 1200 Broadmeadow Rd, Winnetka, IL 60093-3707 | 2014-08-10 |
1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.