THAO LINH NGUYEN (NPI# 1497154371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497154371 |
Entity Type | Individual |
Full Name | THAO LINH NGUYEN |
Credential | D.P.M |
Practice Address |
7717 N Orange Prairie Rd Peoria IL 61615-9323 |
Mailing Address |
10802 N Trail View Dr Dunlap IL 61525-9664 |
Practice Telephone | 3095896800 |
Mailing Telephone | 3169939736 |
Enumeration Date | 2014-08-18 |
Last Update Date | 2019-03-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
N006821 | NY | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
N006821 | NY | Podiatric Medicine & Surgery Service Providers |
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
N006821 | NY | Podiatric Medicine & Surgery Service Providers |
Street Address |
7717 N ORANGE PRAIRIE RD |
City | PEORIA |
State | IL |
Zip Code | 61615-9323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578520839 | Suzanne Brasche | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2006-04-28 |
1467075101 | Kirsten Hall | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2020-05-27 |
1003437526 | Ginger Renee Hughes Garner | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2020-05-06 |
1134680234 | Sydney Jacquelyn Smith | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2019-03-29 |
1588131304 | Miranda Myers | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2018-10-30 |
1861975773 | Andrea Joy Eertmoed | Dietitian, Registered | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2018-09-07 |
1861992851 | Heidi Johnson | Registered Nurse | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2018-02-15 |
1831605898 | Jason Lee Fechter | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2017-12-28 |
1790206365 | Holly Catherine Bourgeois | Pharmacist | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2017-07-04 |
1790238624 | Kyle Foskett | Psychologist | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2016-07-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
Find all providers in zip 61615 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407418395 | Jupiter Medical Services LLC | Podiatrist | 13660 N 94th Dr # D-1, Peoria, AZ 85381-4836 | 2019-07-01 |
1548615875 | Yehia Mohamed Elebrashi | Podiatrist | 10204 W Happy Valley Pkwy, Ste 160, Peoria, AZ 85383-2880 | 2016-04-23 |
1306118328 | Jeff Thomas | Podiatrist | 13660 N 94th Dr Ste D1, Peoria, AZ 85381-4836 | 2012-02-07 |
1750506846 | Illinois Valley Podiatry Group PC | Podiatrist | 3322 W Willow Knolls, Peoria, IL 61614 | 2007-04-16 |
1679620876 | Ernest A Nwani | Podiatrist | 409 N Western Ave, Peoria, IL 61606-1652 | 2007-01-03 |
1942270434 | Donald Joe Sheller | Podiatrist | 3827 N Prospect Rd, Peoria, IL 61616-7767 | 2006-01-25 |
1114926748 | Curtis L Ward | Podiatrist | 5017 N Glen Park Place Rd, Peoria, IL 61614-4677 | 2005-07-15 |
1831717891 | Saturn Medical Specialists, LLC | Podiatrist | 13660 N 94th Drive, Ste D-1, Peoria, AZ 85381-8538 | 2020-07-07 |
1417574328 | Ryan Bangart Dpm PC | Podiatrist | 13660 N 94th Dr Ste D1, Peoria, AZ 85381-4836 | 2020-06-26 |
1538798004 | Vitality Foot and Ankle Institute Pllc | Podiatrist | 10204 W Happy Valley Pkwy Ste 160, Peoria, AZ 85383-2880 | 2020-04-06 |
Find all providers in PEORIA |
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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.