DR. THUY KHANH MINH PHO (NPI# 1790989606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790989606 |
| Entity Type | Individual |
| Full Name | DR. THUY KHANH MINH PHO |
| Credential | M.D. |
| Practice Address |
9270 Siegen Ln Suite 202 Baton Rouge LA 70810-1998 |
| Mailing Address |
1229 Tanglebriar Dr Baton Rouge LA 70810-5195 |
| Practice Telephone | 2257668152 |
| Mailing Telephone | 2257664213 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 026220 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1052523 | 05 |
| Street Address |
9270 SIEGEN LN SUITE 202 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-1998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720057458 | Robin Bracy Marrero | Social Worker | 9270 Siegen Ln, Suite 501, Baton Rouge, LA 70810-1998 | 2006-03-15 |
| 1760918791 | Adreona Sanders | Counselor | 9270 Siegen Ln, Baton Rouge, LA 70810 | 2017-05-11 |
| 1447700158 | Kieaerra Curry | Counselor | 9270 Siegen Ln, Unit 101, Baton Rouge, LA 70810-1998 | 2016-10-05 |
| 1659746840 | Arkeria Robertson | Counselor | 9270 Siegen Ln, Suite 101, Baton Rouge, LA 70810-1998 | 2015-12-14 |
| 1841665353 | Garrick Gordon Sr. | Social Worker | 9270 Siegen Ln, Ste 101, Baton Rouge, LA 70810-1998 | 2015-12-09 |
| 1003281502 | Timkka Webster | Social Worker | 9270 Siegen Ln, Ste 101, Baton Rouge, LA 70810 | 2015-12-09 |
| 1356715676 | Benny Johnson | Counselor | 9270 Siegen Ln, Baton Rouge, LA 70810-1998 | 2015-11-24 |
| 1497129886 | Nicole Mcintyre | Counselor | 9270 Siegen Ln, Suite 101, Baton Rouge, LA 70810 | 2015-11-23 |
| 1437533809 | Tequila Chin | Case Manager/Care Coordinator | 9270 Siegen Ln, Suite 101, Baton Rouge, LA 70810-1998 | 2015-07-16 |
| 1841634052 | Brandy Price Klingman | Social Worker | 9270 Siegen Ln, Baton Rouge, LA 70810-1998 | 2013-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043509326 | Chad Warren Kaplan | General Practice | 3401 North Blvd Ste 130, Baton Rouge, LA 70806-3743 | 2011-04-07 |
| 1154531465 | Lorenza Marie Winn | General Practice | 8220 Goodwood Blvd Ste 2a, Baton Rouge, LA 70806-7741 | 2007-05-23 |
| 1982790697 | Douglas W Davidson | General Practice | 12525 Perkins Road, Suite B, Baton Rouge, LA 70810 | 2006-10-04 |
| 1548253016 | Jimmy Nooe Guidry | General Practice | 8742 Goodwood Blvd, Baton Rouge, LA 70806-7915 | 2005-08-30 |
| 1255331450 | Gary Brandt | General Practice | 9422 Scotland Ave, Baton Rouge, LA 70807-3951 | 2005-07-29 |
| 1447811831 | Louisiana Assistive Tech Access Network | General Practice | 10988 N Harrells Ferry Rd Ste 5, Baton Rouge, LA 70816-8360 | 2019-06-26 |
| 1902325699 | David Andrew Plaisance | General Practice | 13406 Airline Hwy, Baton Rouge, LA 70817-5917 | 2017-09-13 |
| 1063955060 | Ochsner Clinic LLC | General Practice | 17050 Medical Center Dr, Baton Rouge, LA 70816-3221 | 2016-11-22 |
| 1043691090 | Neurotrac of Baton Rouge LLC | General Practice | 10626 Linkwood Ct, Suite A, Baton Rouge, LA 70810-2965 | 2015-06-16 |
| 1912338690 | Ochsner Clinic LLC | General Practice | 170 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2013-12-06 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
Please comment or provide details below to improve the information on DR. THUY KHANH MINH PHO.
| 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.