MR. TRI TU TRAN PA-C NPI 1780658500

NPI Information

NPI: 1780658500
Provider Name: MR. TRI TU TRAN, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1050 OLD CAMP RD
SUITE 202
THE VILLAGES, FL
ZIP 32162
Phone: (352) 259-5960
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MR. Tri Tu Tran, PA-C is a surgical physician assistant in The Villages, FL with 23 years of experience. MR. Tri Tu Tran, PA-C NPI is 1780658500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1050 OLD CAMP RD
SUITE 202
THE VILLAGES, FL
ZIP 32162-762
Phone: (352) 259-5960
Fax: (352) 750-1854

The NPI 1780658500 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/16/2006 and was last updated on 11/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA9101733	FLORIDA	No
2	363AM0700X	Physician Assistant	Medical	PA9101733	FLORIDA	No
3	363AS0400X	Physician Assistant	Surgical	PA9101733	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P43664	MEDICARE UPIN
2	291141800	MEDICAID	FLORIDA
3	E6462M	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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