DR. TRI V NGUYEN (NPI# 1417064866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417064866 |
| Entity Type | Individual |
| Full Name | DR. TRI V NGUYEN |
| Other Name | TRI VAN NGUYEN |
| Credential | MD |
| Practice Address |
248 Mchenry St Burlington WI 53105 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 2627678267 |
| Practice Fax Number | 2627678212 |
| Mailing Telephone | 4146476326 |
| Mailing Fax Number | 4146718860 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 35961 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32076700 | 05 | |
| DEA NUMBER | BN3704916 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805454 | Tri Huynh Minh Nguyen | Military Health Care Provider | 7826 Enchanted Cliff Dr, El Paso, TX 79911-7508 | 2020-09-10 |
| 1730748773 | Tri Nguyen | Dentist | 2325 Nw 153rd St, Edmond, OK 73013-9229 | 2019-06-12 |
| 1265938120 | Tri Nguyen | Student in an Organized Health Care Education/Training Program | 1250 W Marshall St, Richmond, VA 23284-5601 | 2018-03-31 |
| 1528599776 | Tri Minh Nguyen | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave Ofc, Riverside, CA 92501-4135 | 2017-03-21 |
| 1083166938 | Tri Minh Nguyen | Pharmacist | 2839 Se 63rd Ave, Portland, OR 97206-1335 | 2016-10-26 |
| 1487064549 | Tri Do Nguyen | Chiropractor | 10292 Wembley Cir, Westminster, CA 92683-5847 | 2014-04-29 |
| 1356696165 | Tri Nguyen | Optometrist | 5405 S Rice Ave, Houston, TX 77081-2113 | 2012-07-17 |
| 1730407669 | Tri Cao Nguyen | Pediatrics | 1600 Eureka Rd # Mob2, Roseville, CA 95661-3027 | 2010-05-17 |
| 1376865527 | Tri Nguyen | Pharmacist | 10405 S Eastern Ave, Henderson, NV 89052-3958 | 2010-02-15 |
| 1063745099 | Tri Minh Nguyen | Dentist | 3950 N Fry Rd Ste 600, Katy, TX 77449-6743 | 2009-09-09 |
| Street Address |
248 MCHENRY ST |
| City | BURLINGTON |
| State | WI |
| Zip Code | 53105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295731529 | Carol Ann Seitz | Registered Nurse | 248 Mchenry St, Burlington, WI 53105-1828 | 2005-06-22 |
| 1598310468 | Shelly L P Glascock | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105-1828 | 2019-08-07 |
| 1649740614 | Kirby Curby-warner | Midwife | 248 Mchenry St, Burlington, WI 53105-1828 | 2018-12-03 |
| 1487150629 | Michael Mesirow | Physician Assistant | 248 Mchenry St, Burlington, WI 53105 | 2018-04-05 |
| 1588181523 | Leroy Spurlock | Physician Assistant | 248 Mchenry St, Burlington, WI 53105-1828 | 2017-08-29 |
| 1447791363 | Desiree A Mengo | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105 | 2017-03-10 |
| 1184075053 | Corina E Beck | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105-1828 | 2016-06-22 |
| 1528492469 | Kristina J Krogstad | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105-1828 | 2013-08-28 |
| 1952666554 | Kora Lane Adam | Physician Assistant | 248 Mchenry St, Burlington, WI 53105-1828 | 2012-07-10 |
| 1831452226 | Danielle D Storm | Physician Assistant | 248 Mchenry St, Burlington, WI 53105-1828 | 2012-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
| 1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
| 1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
| 1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
| 1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
| 1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
| 1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
| 1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
| 1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
| Find all providers in zip 53105 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154596096 | Katherine S. Masterpol | Dermatology | 172 Cambridge St Ste 204, Burlington, MA 01803-2984 | 2008-04-22 |
| 1174650501 | Adam Daniel Lipworth | Dermatology | 67 S. Bedford Street, Lahey Hospital & Medical Center, Burlington, MA 01803 | 2007-02-27 |
| 1114029675 | Adele Ann Moreland | Dermatology | Lahey Cinic Inc, 41 Mall Road, Burlington, MA 01805-0001 | 2006-09-03 |
| 1982695664 | Thomas M Ruenger | Dermatology | Lahey Hospital & Medical Center, 67 S. Bedford Street, Burlington, MA 01805-5108 | 2005-11-02 |
| 1811460157 | Dermphysicians of New England I LLC | Dermatology | 172 Cambridge St Ste 204, Burlington, MA 01803-2984 | 2019-01-09 |
| 1558834523 | Dermphysicians of New England LLC | Dermatology | 172 Cambridge St Ste 204, Burlington, MA 01803-2984 | 2019-01-02 |
| 1548702186 | Moses Cone Physician Services, Inc | Dermatology | 1734 Westbrook Ave, Burlington, NC 27215-8721 | 2016-11-14 |
| 1902280308 | Laura Sowerby | Dermatology | 67 S Bedford St, Burlington, MA 01803-5108 | 2015-07-15 |
| 1881071413 | Elena Gonzalez Brant | Dermatology | Lahey Hospital and Medical Center, 67 S. Bedford Street, Burlington, MA 01803 | 2015-05-04 |
| 1750776712 | Sara Alison Berg | Dermatology | 41 Mall Rd, Burlington, MA 01805-0001 | 2015-04-06 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 53105 |
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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.