THOR TANGVALD IV (NPI# 1235287954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235287954 |
| Entity Type | Individual |
| Full Name | THOR TANGVALD IV |
| Credential | M.D. |
| Practice Address |
103 Landmark Dr Suite 240 Bellevue KY 41073-1393 |
| Practice Telephone | 8592923900 |
| Practice Fax Number | 8592923903 |
| Mailing Telephone | 8592923900 |
| Mailing Fax Number | 8592923903 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
33141 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64938137 | 05 |
| Street Address |
103 LANDMARK DR SUITE 240 |
| City | BELLEVUE |
| State | KY |
| Zip Code | 41073-1393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669471058 | Carol Roark | Pediatrics | 103 Landmark Dr, Ll2, Bellevue, KY 41073-1393 | 2005-07-18 |
| 1033756689 | Alicia J Obringer | Dietitian, Registered | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2019-12-03 |
| 1215468947 | Allyson Lilburn | Social Worker | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2017-03-24 |
| 1912440280 | Christy Renee Bowling | Nurse Practitioner | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2016-11-18 |
| 1861854648 | Amy N Reusch | Nurse Practitioner | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2016-03-22 |
| 1487056974 | Catherine Nicole Ellis | Nurse Practitioner | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2014-09-16 |
| 1659711851 | Olivia Mae Faulkner Estes | Dentist | 103 Landmark Dr, Bellevue, KY 41073 | 2013-07-02 |
| 1124468707 | Michelle Watters | Pharmacist | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2013-06-27 |
| 1043657489 | Harold T. Pretorius, M.d. | Internal Medicine | 103 Landmark Dr, Suite 365, Bellevue, KY 41073-1393 | 2013-05-24 |
| 1083974737 | Dawn Marie Mbomyo | Social Worker | 103 Landmark Dr, Suite 380, Bellevue, KY 41073-1393 | 2012-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467618462 | Violet Marie Lichtenstein | Registered Nurse | 103 Landmark Drive, Bellevue La Health Care, Bellevue, KY 41073 | 2008-07-30 |
| 1033314554 | Healing Tables Ltd Co | Contractor | 405 Fairfield Ave, Bellevue, KY 41073 | 2007-06-15 |
| 1548391428 | Dana Porterfield | Physical Therapist | 103 Landmark Dr Lower Level, Patient First Pt, Bellevue, KY 41073 | 2007-03-09 |
| 1760527105 | Melissa Rose Sandoval | Social Worker | 103 Landmark Drive Ste 300, Department of Veteran's Affairs, Bellevue, KY 41073 | 2007-02-21 |
| 1619900784 | Mary D Huhn | Social Worker | 227 Fairfield Ave, 2nd Floor, Bellevue, KY 41073 | 2006-07-09 |
| 1972169746 | Christopher James Kersting | Nurse Practitioner | 53 Donnermeyer Dr, Bellevue, KY 41073 | 2019-05-16 |
| 1740627124 | Jeffery Braden Blankenship | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2013-05-27 |
| 1437404431 | Jennifer Amy Adams | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2012-07-17 |
| 1861439937 | Michael Grainger | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2006-05-31 |
| 1497792584 | Jeremy D Engel | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2006-05-31 |
| Find all providers in zip 41073 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588062699 | Shamin Gopinath Md Pllc | Psychiatry & Neurology | 2620 Bellevue Way Ne, #128, Bellevue, WA 98004-2209 | 2014-12-05 |
| 1790023141 | Harvey Allen Ries | Psychiatry & Neurology | 13501 Ne 38th Pl, Bellevue, WA 98005-1455 | 2013-01-18 |
| 1649430125 | Ilyse Shara Rosenberg | Psychiatry & Neurology | 14205 Se 36th St Ste 100, Bellevue, WA 98006-1553 | 2008-06-10 |
| 1790962355 | Patrick T Phan | Psychiatry & Neurology | 2902 112th Ave Se, Bellevue, WA 98004-7528 | 2008-01-25 |
| 1902092182 | Patricia L Paddison, Md, Pllc | Psychiatry & Neurology | 1400 112th Ave Se Ste 100, Bellevue, WA 98004-6901 | 2007-09-20 |
| 1740482066 | Albert Frederick Tsai | Psychiatry & Neurology | 1750 112th Ave Ne Ste B102, Bellevue, WA 98004-3772 | 2007-05-31 |
| 1558483818 | Carol Louise Perkins | Psychiatry & Neurology | 1309 114th Ave Se Ste 316, Bellevue, WA 98004-6903 | 2007-04-05 |
| 1134241888 | Arifulla - Khan | Psychiatry & Neurology | 1900 116th Ave Ne, Bellevue, WA 98004-3052 | 2007-04-04 |
| 1730200833 | Mehri D Moore | Psychiatry & Neurology | 400 108th Ave Ne, Suite 402, Bellevue, WA 98004-5562 | 2007-04-03 |
| 1861517989 | Kathleen P Decker | Psychiatry & Neurology | 40 Lake Bellevue Dr Ste 100, Bellevue, WA 98005-2480 | 2007-03-20 |
| Find all providers in BELLEVUE | ||||
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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.