MARY CHAU TRAN PA-C NPI 1003001587
Physician Assistant in Middletown, CT
About MARY TRAN
Mary Tran is a provider in Middletown, CT with more than 12 years of experience. The NPI number assigned to this provider is 1003001587. The practitioner's primary taxonomy code is Physician Assistant (363A00000X). The provider is registered as an individual and their NPI record was last updated 0 years ago. Mary Tran is registered with Medicare and accepts claims assignment.
| NPI | 1003001587 |
| Provider Name | MARY CHAU TRAN PA-C |
| Provider Location Address | 400 SAYBROOK RD STE 205 MIDDLETOWN, CT 06457 |
| Provider Mailing Address | 280 SAND HILL RD MIDDLETOWN, CT 06457 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 09-07-2007 |
| Last Update Date | 11-02-2018 |
Primary Taxonomy
| Taxonomy Code | 363A00000X |
| Classification | Physician Assistant |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| License No. | 3091 |
| License State | CT |
| Taxonomy Description | A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
Business Address
MARY CHAU TRAN PA-C
400 SAYBROOK RD STE 205
MIDDLETOWN, CT
ZIP 06457
Phone: (888) 344-0007
Fax: (860) 343-1004
Mailing Address
MARY CHAU TRAN PA-C
280 SAND HILL RD
MIDDLETOWN, CT
ZIP 06457
Phone: (985) 413-0732
Secondary Locations
Syracuse, NY 13203
(315) 448-5414
Medicare Participation
What is PECOS?Hospital Affiliations
| Hospital Name | CMS Certification Number (CCN) |
|---|---|
| CHARLOTTE HUNGERFORD HOSPITAL | 070011 |
| WATERBURY HOSPITAL | 070005 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical Technologist | 012657 | NY | No |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.