TIEN MARK DUC TRAN (NPI# 1306806096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306806096 |
| Entity Type | Individual |
| Full Name | TIEN MARK DUC TRAN |
| Other Name | TIEN DUC TRAN |
| Credential | M.D. |
| Practice Address |
1403 Champions Green Dr Suite #200 Gulf Breeze FL 32563-3575 |
| Practice Telephone | 7082964986 |
| Mailing Telephone | 7082964986 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2017-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A103175 | CA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | ME90850 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA LICENSURE | ME90850 | 01 |
| MAIKA HEALTHCARE, LLC NPI NUMBER | 1033143045 | 01 | |
| FL | 271356000 | 05 |
| Street Address |
1403 CHAMPIONS GREEN DR SUITE #200 |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32563-3575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588180475 | Sacred Heart Health System, Inc. | Orthopaedic Surgery | 4033 Gulf Breeze Pkwy, Ste D, Gulf Breeze, FL 32563 | 2017-08-22 |
| 1881121457 | Jay Arnold | Dentist | 1480 Tiger Park Ln, Gulf Breeze, FL 32563 | 2017-05-15 |
| 1457506826 | Horace Lindsay Simpson | Surgery | 4435 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2008-11-26 |
| 1972795508 | Barbara Mary Ebel | Anesthesiology | 4435 Gulf Breeze Parkway, Good Samaritan Clinic, Gulf Breeze, FL 32563 | 2007-08-17 |
| 1275670374 | Karen Cann | Physical Therapist | 4657 Gulf Breeze Pkwy., Suites A & B, Gulf Breeze, FL 32563 | 2007-01-30 |
| 1356423719 | Cynthia Urmos | Chiropractor | 2870 Gulf Breeze Parkway, Gulf Breeze, FL 32563 | 2006-10-19 |
| 1538260690 | Donna Theresa Englehart | Counselor | 3463 Sycamore Lane, Gulf Breeze, FL 32563 | 2006-09-25 |
| 1932695475 | Lynette Hale | Nurse Practitioner | 3416 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2018-07-09 |
| 1285136937 | Jessica Roth | Behavior Technician | 3208 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2018-03-07 |
| 1821511544 | Samantha Monroe | Behavior Technician | 3182 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 | 2017-07-25 |
| Find all providers in zip 32563 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336551969 | Marianne Hazelitt Do Professional Association | Internal Medicine | 4181 Soundside Dr # B, None, Gulf Breeze, FL 32563-9134 | 2014-06-02 |
| 1821020892 | Thomas Lampone | Internal Medicine | 104 Matamoros Dr, Gulf Breeze, FL 32561-5234 | 2006-07-07 |
| 1952391179 | Quintin Orville Law | Internal Medicine | 85 Bay Bridge Dr, Gulf Breeze, FL 32561-4468 | 2005-10-27 |
| 1992338321 | Eric A Lane | Internal Medicine | 4033 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3506 | 2020-02-13 |
| 1235390634 | Logan Mccann Richards | Internal Medicine | 1118 Gulf Breeze Pkwy, Suite 101, Gulf Breeze, FL 32561-7800 | 2008-06-19 |
| 1871773572 | Deborah D. Viglione M.d., LLC | Internal Medicine | 103 Nightingale Ln, Gulf Breeze, FL 32561-7205 | 2007-11-09 |
| 1831379965 | Quintin O Law Md Pa | Internal Medicine | 85 Bay Bridge Dr, Gulf Breeze, FL 32561-4468 | 2007-11-06 |
| 1700066834 | Jolita Klementaviciene Md Pa | Internal Medicine | 1118 Gulf Breeze Pkwy, Suite 205, Gulf Breeze, FL 32561-7800 | 2007-11-06 |
| 1093859746 | Karen Pennington | Internal Medicine | 2896 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3146 | 2007-02-16 |
| 1922104777 | Deborah D Viglione | Internal Medicine | 103 Nightingale Ln, Gulf Breeze, FL 32561-7205 | 2006-09-16 |
| Find all providers in GULF BREEZE | ||||
| City | GULF BREEZE |
| Zip Code | 32563 |
Please comment or provide details below to improve the information on TIEN MARK DUC TRAN.
| 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.